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 $245.89 / $245.89 / $274.82	Facility	54	$245.89	$245.89	$274.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.76 / $327.85 / $387.09	Professional		$262.76	$327.85	$387.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $513.99 / $513.99 / $513.99	Professional		$513.99	$513.99	$513.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.21 / $1,878.12 / $2,967.41	Facility		$1,182.21	$1,878.12	$2,967.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.45 / $407.07 / $466.70	Professional		$296.45	$407.07	$466.70
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 $274.89 / $399.81 / $538.60	Professional		$274.89	$399.81	$538.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.77 / $420.91 / $1,500.00	Facility		$314.77	$420.91	$1,500.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,053.30 / $1,053.30	Facility	54	$1,053.30	$1,053.30	$1,053.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.41 / $379.12 / $2,708.08	Professional		$286.41	$379.12	$2,708.08
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 $286.41 / $351.43 / $523.85	Professional		$286.41	$351.43	$523.85