Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.91 / $1,941.00 / $4,630.00	Facility		$608.91	$1,941.00	$4,630.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $409.68 / $409.68 / $409.68	Facility	52	$409.68	$409.68	$409.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.16 / $298.70 / $613.15	Professional		$232.16	$298.70	$613.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $482.94 / $482.94 / $741.90	Professional		$482.94	$482.94	$741.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,620.76 / $2,700.74	Facility		$412.80	$1,620.76	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.19 / $414.56 / $492.29	Professional		$347.19	$414.56	$492.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.97 / $353.74 / $606.84	Professional		$255.97	$353.74	$606.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $366.04 / $1,221.00	Facility		$287.00	$366.04	$1,221.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,151.73 / $1,151.73 / $1,151.73	Facility	52	$1,151.73	$1,151.73	$1,151.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,007.76 / $1,007.76	Facility	54	$1,007.76	$1,007.76	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.55 / $354.50 / $2,546.80	Professional		$259.55	$354.50	$2,546.80
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $305.27 / $574.29	Professional		$242.44	$305.27	$574.29