Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $808.00 / $6,245.00	Facility		$136.87	$808.00	$6,245.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $78.31 / $78.31 / $93.11	Facility	54	$78.31	$78.31	$93.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $104.43 / $135.21	Professional		$85.32	$104.43	$135.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.82 / $154.78	Professional		$100.00	$121.82	$154.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $618.37 / $964.48 / $1,512.73	Facility		$618.37	$964.48	$1,512.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $133.61 / $159.56	Professional		$99.41	$133.61	$159.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $138.03 / $171.57	Professional		$95.71	$138.03	$171.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.93 / $139.00 / $1,172.00	Facility		$99.93	$139.00	$1,172.00
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 $99.32 / $124.15 / $950.56	Professional		$99.32	$124.15	$950.56
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,582.00	Facility		$139.00	$610.00	$1,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $120.43 / $179.94	Professional		$96.14	$120.43	$179.94