Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $103.07 / $103.07	Facility		$103.07	$103.07	$103.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $71.76 / $114.81	Professional		$35.47	$71.76	$114.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $118.31 / $129.66	Facility		$112.05	$118.31	$129.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $122.55 / $122.55	Professional		$122.55	$122.55	$122.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $68.84	Facility		$68.84	$68.84	$68.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.25 / $50.25 / $179.53	Professional		$50.25	$50.25	$179.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $110.48 / $584.39	Facility		$35.47	$110.48	$584.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $73.61 / $175.13	Professional		$36.64	$73.61	$175.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $68.39 / $87.57	Professional		$45.59	$68.39	$87.57