Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $104.79 / $371.00	Professional		$68.15	$104.79	$371.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.93 / $83.93 / $83.93	Professional		$83.93	$83.93	$83.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $431.67 / $683.82	Facility		$113.67	$431.67	$683.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $74.67 / $84.01	Professional		$55.16	$74.67	$84.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $112.45 / $224.49	Professional		$78.72	$112.45	$224.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $93.71 / $173.48	Facility		$68.15	$93.71	$173.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $113.40 / $679.98	Professional		$93.10	$113.40	$679.98
United Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $111.35 / $208.46	Professional		$91.80	$111.35	$208.46