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 $184.58 / $184.58 / $189.86	Facility	54	$184.58	$184.58	$189.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $246.10 / $257.81	Professional		$200.02	$246.10	$257.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.16 / $230.16 / $230.16	Professional		$230.16	$230.16	$230.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.01 / $1,411.90 / $2,231.21	Facility		$884.01	$1,411.90	$2,231.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $300.24 / $361.46	Professional		$223.30	$300.24	$361.46
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 $206.59 / $289.45 / $380.77	Professional		$206.59	$289.45	$380.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.12 / $316.22 / $1,470.67	Facility		$236.12	$316.22	$1,470.67
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $443.97 / $792.63 / $792.63	Facility	54	$443.97	$792.63	$792.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.74 / $258.33 / $1,803.84	Professional		$196.74	$258.33	$1,803.84
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 $193.15 / $237.15 / $344.50	Professional		$193.15	$237.15	$344.50