Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $426.58	Professional		$218.78	$323.59	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.62 / $28.18	Facility		$16.98	$18.62	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,000.00	Professional		$363.08	$467.74	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $645.65	Professional		$239.88	$281.84	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $3,090.30	Facility		$186.21	$371.54	$3,090.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $436.52	Professional		$186.21	$275.42	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $181.97 / $436.52	Facility		$21.88	$181.97	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $436.52	Professional		$218.78	$275.42	$436.52