Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Facility		$19.00	$19.00	$19.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $39.10	Professional		$19.00	$19.00	$39.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $32.90 / $32.90	Professional		$32.90	$32.90	$32.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $123.96 / $147.79	Facility		$105.37	$123.96	$147.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $78.62 / $282.47	Professional		$44.27	$78.62	$282.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $65.75 / $108.58	Professional		$23.00	$65.75	$108.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.97 / $42.85	Facility		$19.00	$20.97	$42.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $99.42 / $259.38	Professional		$76.66	$99.42	$259.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $60.86 / $71.79	Facility		$60.86	$60.86	$71.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $60.86 / $108.58	Professional		$60.86	$60.86	$108.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $95.82 / $118.34	Professional		$73.30	$95.82	$118.34