Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.59 / $174.59 / $178.12	Facility	54	$174.59	$174.59	$178.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $232.79 / $296.93	Professional		$187.96	$232.79	$296.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.00 / $217.00 / $308.83	Professional		$217.00	$217.00	$308.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.01 / $1,404.36 / $2,218.87	Facility		$884.01	$1,404.36	$2,218.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.40 / $284.24 / $338.66	Professional		$211.40	$284.24	$338.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $275.73 / $356.85	Professional		$189.81	$275.73	$356.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $296.86 / $1,470.67	Facility		$222.30	$296.86	$1,470.67
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $422.97 / $755.54 / $755.54	Facility	54	$422.97	$755.54	$755.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.29 / $244.06 / $1,718.32	Professional		$185.29	$244.06	$1,718.32
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.47 / $228.09 / $323.17	Professional		$182.47	$228.09	$323.17