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 $184.77 / $184.77 / $187.54	Facility	54	$184.77	$184.77	$187.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $246.36 / $251.13	Professional		$200.78	$246.36	$251.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $178.96 / $178.96	Professional		$178.96	$178.96	$178.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.90 / $298.36 / $323.44	Professional		$221.90	$298.36	$323.44
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 $199.55 / $280.70 / $369.14	Professional		$199.55	$280.70	$369.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.89 / $307.07 / $1,447.20	Facility		$230.89	$307.07	$1,447.20
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $793.71 / $793.71 / $793.71	Facility	54	$793.71	$793.71	$793.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.58 / $255.04 / $1,833.36	Professional		$192.58	$255.04	$1,833.36
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 $192.58 / $233.22 / $356.51	Professional		$192.58	$233.22	$356.51