Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.61 / $1,965.00 / $5,506.00	Facility		$661.61	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $322.81 / $978.47	Professional		$240.12	$322.81	$978.47
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $174.88 / $242.11 / $1,082.25	Professional	54	$174.88	$242.11	$1,082.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.82 / $324.97 / $587.85	Professional		$305.82	$324.97	$587.85
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $410.66 / $410.66 / $410.66	Professional	54	$410.66	$410.66	$410.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $2,211.19 / $3,616.69	Facility		$552.79	$2,211.19	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $423.96 / $529.95	Professional		$355.74	$423.96	$529.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.13 / $365.08 / $630.87	Professional		$252.13	$365.08	$630.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.83 / $373.78 / $1,216.00	Facility		$288.83	$373.78	$1,216.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,094.65 / $1,094.65	Facility	54	$1,094.65	$1,094.65	$1,094.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.84 / $361.38 / $2,607.36	Professional		$253.84	$361.38	$2,607.36
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 $238.47 / $316.88 / $628.07	Professional		$238.47	$316.88	$628.07