Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.17 / $97.17 / $104.40	Facility		$97.17	$97.17	$104.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $63.66 / $97.17	Professional		$33.93	$63.66	$97.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $132.59 / $140.62	Facility		$121.52	$132.59	$140.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $131.60 / $131.60	Professional		$131.60	$131.60	$131.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Facility		$65.81	$65.81	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $170.63	Professional		$48.04	$65.81	$170.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $94.56 / $549.05	Facility		$33.93	$94.56	$549.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $58.54 / $149.91	Professional		$35.03	$58.54	$149.91
United Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $119.37 / $140.44	Facility		$119.37	$119.37	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $58.34 / $78.40	Professional		$35.59	$58.34	$78.40