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 / $28.18	Professional		$19.00	$19.00	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $21.83 / $21.83	Professional		$21.83	$21.83	$21.83
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 $29.27 / $49.39 / $66.51	Professional		$29.27	$49.39	$66.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $43.89 / $78.09	Professional		$20.00	$43.89	$78.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.67 / $34.20	Facility		$19.00	$20.67	$34.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $71.12 / $185.58	Professional		$54.82	$71.12	$185.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $43.89 / $51.68	Facility		$43.89	$43.89	$51.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.89 / $43.89 / $78.09	Professional		$43.89	$43.89	$78.09
United Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $68.52 / $84.62	Professional		$54.82	$68.52	$84.62