Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $718.99 / $7,500.00	Facility		$134.00	$718.99	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $80.84 / $96.50 / $128.06	Facility	54	$80.84	$96.50	$128.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $117.74 / $170.74	Professional		$89.82	$117.74	$170.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $104.38 / $111.45	Professional		$88.72	$104.38	$111.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.14 / $227.00 / $487.91	Facility		$186.14	$227.00	$487.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $123.68 / $143.28	Professional		$105.13	$123.68	$143.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $146.66 / $188.34	Professional		$104.65	$146.66	$188.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $134.00 / $797.00	Facility		$89.82	$134.00	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.61 / $143.50 / $950.56	Professional		$110.61	$143.50	$950.56
United Facility/Professional Facility Modifier Low / Median / High Price $202.90 / $526.00 / $1,907.00	Facility		$202.90	$526.00	$1,907.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $124.15 / $211.50	Professional		$107.15	$124.15	$211.50