Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.75 / $137.00 / $328.80	Facility		$102.75	$137.00	$328.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $102.75 / $334.77	Professional		$39.31	$102.75	$334.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $82.20	Professional		$82.20	$82.20	$82.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.23 / $295.77 / $428.45	Facility		$220.23	$295.77	$428.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $130.15 / $130.15	Professional		$130.15	$130.15	$130.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.05 / $89.05 / $366.00	Facility		$89.05	$89.05	$366.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $70.73 / $200.36	Professional		$55.36	$70.73	$200.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $137.00 / $230.16	Facility		$101.38	$137.00	$230.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $205.50	Professional		$57.54	$57.54	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $87.68	Professional		$57.54	$57.54	$87.68