Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.02 / $109.02 / $109.02	Facility		$109.02	$109.02	$109.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $75.90 / $121.44	Professional		$46.70	$75.90	$121.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Professional		$180.00	$180.00	$180.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $109.52 / $116.51	Facility		$104.04	$109.52	$116.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $115.00 / $115.00	Professional		$115.00	$115.00	$115.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.59 / $128.85 / $128.85	Facility		$126.59	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $128.85 / $210.00	Professional		$109.52	$128.85	$210.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $113.24 / $720.02	Facility		$46.70	$113.24	$720.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $83.02 / $185.23	Professional		$48.22	$83.02	$185.23
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.34 / $111.46	Professional		$48.22	$72.34	$111.46