Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.80 / $1,475.00 / $4,521.00	Facility		$246.80	$1,475.00	$4,521.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $88.98 / $88.98 / $105.38	Facility	54	$88.98	$88.98	$105.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $114.72 / $299.63	Professional		$85.31	$114.72	$299.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $115.50 / $136.16	Professional		$97.26	$115.50	$136.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.13 / $269.72 / $487.65	Facility		$82.13	$269.72	$487.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $103.23 / $122.40	Professional		$77.70	$103.23	$122.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $112.01 / $215.80	Professional		$89.95	$112.01	$215.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $121.70 / $1,424.00	Facility		$96.80	$121.70	$1,424.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $343.32 / $343.32 / $343.32	Facility	54	$343.32	$343.32	$343.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $117.94 / $950.56	Professional		$92.88	$117.94	$950.56
United Facility/Professional Facility Modifier Low / Median / High Price $683.00 / $1,409.00 / $2,175.00	Facility		$683.00	$1,409.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $112.88 / $155.04	Professional		$91.08	$112.88	$155.04