Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $5,506.00	Facility		$1,162.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $92.95 / $259.20	Professional		$43.52	$92.95	$259.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $107.62 / $107.62	Professional		$107.62	$107.62	$107.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.14 / $939.56 / $1,546.44	Facility		$251.14	$939.56	$1,546.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $73.27 / $109.90	Professional		$45.42	$73.27	$109.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.37 / $120.37 / $120.37	Facility		$120.37	$120.37	$120.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $104.59 / $187.97	Professional		$49.42	$104.59	$187.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $102.25 / $1,438.00	Facility		$47.87	$102.25	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $139.15 / $796.64	Professional		$99.39	$139.15	$796.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,711.00 / $3,268.00	Facility		$1,068.00	$1,711.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.15 / $119.88 / $214.42	Professional		$97.15	$119.88	$214.42