Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.93 / $1,983.00 / $5,370.00	Facility		$413.93	$1,983.00	$5,370.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $152.69 / $152.69 / $176.75	Facility	54	$152.69	$152.69	$176.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $185.56 / $715.00	Professional		$143.69	$185.56	$715.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.50 / $234.50 / $234.50	Professional		$234.50	$234.50	$234.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,627.46 / $2,700.74	Facility		$412.80	$1,627.46	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $176.37 / $205.03	Professional		$132.28	$176.37	$205.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $195.37 / $383.74	Professional		$160.63	$195.37	$383.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.16 / $206.80 / $1,424.00	Facility		$170.16	$206.80	$1,424.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $589.19 / $589.19 / $589.19	Facility	54	$589.19	$589.19	$589.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $202.98 / $1,602.24	Professional		$158.78	$202.98	$1,602.24
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $197.01 / $266.19	Professional		$156.24	$197.01	$266.19