Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.06 / $1,806.00 / $8,101.00	Facility		$234.06	$1,806.00	$8,101.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $141.19 / $163.94 / $216.80	Facility	54	$141.19	$163.94	$216.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $197.62 / $289.07	Professional		$156.88	$197.62	$289.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $149.00 / $149.00	Professional		$149.00	$149.00	$149.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $487.91 / $1,484.70	Facility		$220.00	$487.91	$1,484.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.37 / $239.26 / $268.83	Professional		$203.37	$239.26	$268.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.80 / $258.32 / $352.71	Professional		$185.80	$258.32	$352.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.36 / $227.27 / $841.70	Facility		$133.36	$227.27	$841.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.52 / $247.72 / $1,602.24	Professional		$195.52	$247.72	$1,602.24
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.34 / $218.93 / $328.34	Professional		$192.34	$218.93	$328.34