Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $194.98	Professional		$77.62	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $131.83 / $275.42	Facility		$56.23	$131.83	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $416.87	Professional		$165.96	$218.78	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $151.36 / $933.25	Facility		$56.23	$151.36	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $1,174.90	Professional		$69.18	$87.10	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $173.78	Facility		$66.07	$107.15	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $131.83	Professional		$74.13	$87.10	$131.83