Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $122.61 / $542.57	Professional		$90.40	$122.61	$542.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $104.31 / $171.81	Professional		$98.18	$104.31	$171.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $100.04 / $126.58	Professional		$88.31	$100.04	$126.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.96 / $121.30 / $246.36	Professional		$88.96	$121.30	$246.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $166.18 / $1,924.00	Facility		$103.15	$166.18	$1,924.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $131.04 / $964.24	Professional		$102.09	$131.04	$964.24
United Facility/Professional Facility Modifier Low / Median / High Price $617.00 / $1,488.00 / $2,175.00	Facility		$617.00	$1,488.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $124.80 / $251.44	Professional		$98.39	$124.80	$251.44