Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.42 / $1,419.25 / $6,435.00	Facility		$252.42	$1,419.25	$6,435.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $138.04 / $138.04 / $160.34	Facility	54	$138.04	$138.04	$160.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.29 / $184.05 / $252.42	Professional		$144.29	$184.05	$252.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $84.31 / $84.31	Professional		$84.31	$84.31	$84.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.65 / $964.48 / $1,512.73	Facility		$616.65	$964.48	$1,512.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $238.38 / $275.38	Professional		$176.19	$238.38	$275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $240.32 / $302.06	Professional		$169.76	$240.32	$302.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.54 / $243.52 / $1,470.67	Facility		$173.54	$243.52	$1,470.67
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 $172.36 / $216.13 / $1,602.24	Professional		$172.36	$216.13	$1,602.24
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.05 / $208.32 / $312.27	Professional		$167.05	$208.32	$312.27