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 / $26.58	Professional		$19.00	$19.00	$26.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $22.30 / $22.30	Professional		$22.30	$22.30	$22.30
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 $30.42 / $49.84 / $69.12	Professional		$30.42	$49.84	$69.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $41.41 / $73.58	Professional		$21.00	$41.41	$73.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.97 / $35.15	Facility		$19.00	$20.97	$35.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.66 / $68.34 / $178.47	Professional		$52.66	$68.34	$178.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.41 / $41.41 / $48.69	Facility		$41.41	$41.41	$48.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.41 / $47.97 / $73.58	Professional		$41.41	$47.97	$73.58
United Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $73.89 / $81.29	Professional		$54.30	$73.89	$81.29