Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.44 / $631.44 / $631.44	Facility		$631.44	$631.44	$631.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.70 / $438.73 / $631.44	Professional		$413.70	$438.73	$631.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $653.30 / $653.30 / $653.30	Professional		$653.30	$653.30	$653.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.06 / $1,222.17 / $1,300.07	Facility		$1,161.06	$1,222.17	$1,300.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.01 / $1,103.01 / $1,103.01	Professional		$1,103.01	$1,103.01	$1,103.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $636.97	Facility		$636.97	$636.97	$636.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $935.16	Professional		$464.99	$636.97	$935.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.70 / $631.44 / $3,153.85	Facility		$413.70	$631.44	$3,153.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $536.70 / $1,161.26	Professional		$321.20	$536.70	$1,161.26
United Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $536.70 / $750.49	Professional		$346.27	$536.70	$750.49