Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $17.50	Professional		$6.25	$6.25	$17.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $27.05 / $28.68	Facility		$24.79	$27.05	$28.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $26.84 / $26.84	Professional		$26.84	$26.84	$26.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $38.44	Professional		$7.65	$7.65	$38.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $90.00	Facility		$25.00	$25.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $43.87 / $94.50	Professional		$25.00	$43.87	$94.50
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87