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 $30.58 / $38.97 / $51.66	Professional		$30.58	$38.97	$51.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $18.50 / $18.50	Professional		$18.50	$18.50	$18.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $141.05 / $223.44	Facility		$36.29	$141.05	$223.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $31.72 / $35.29	Professional		$26.01	$31.72	$35.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $39.54 / $78.70	Professional		$30.52	$39.54	$78.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $61.88 / $3,978.00	Facility		$33.90	$61.88	$3,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $44.40 / $241.20	Professional		$35.52	$44.40	$241.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $3,311.00 / $5,838.00	Facility		$1,625.00	$3,311.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $41.07 / $74.18	Professional		$35.52	$41.07	$74.18