Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.47 / $2,624.00 / $10,439.00	Facility		$465.47	$2,624.00	$10,439.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $300.41 / $314.06 / $411.17	Facility	54	$300.41	$314.06	$411.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $348.96 / $548.22	Professional		$257.37	$348.96	$548.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $614.82 / $614.82 / $614.82	Professional	50	$614.82	$614.82	$614.82
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.79 / $261.72 / $411.17	Professional	54	$239.79	$261.72	$411.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.84 / $367.84 / $476.52	Professional		$367.84	$367.84	$476.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.80 / $1,074.00 / $2,299.67	Facility		$224.80	$1,074.00	$2,299.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.23 / $423.80 / $451.88	Professional		$360.23	$423.80	$451.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.17 / $429.60 / $679.60	Professional		$296.17	$429.60	$679.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.14 / $419.35 / $865.06	Facility		$301.14	$419.35	$865.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.35 / $422.30 / $2,607.36	Professional		$304.35	$422.30	$2,607.36
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $383.74 / $561.09	Professional		$299.20	$383.74	$561.09