Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.00 / $3,617.00 / $6,329.00	Facility		$1,070.00	$3,617.00	$6,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $287.45 / $830.45	Professional		$230.77	$287.45	$830.45
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $169.21 / $215.60 / $800.13	Professional	54	$169.21	$215.60	$800.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $289.89 / $410.57	Professional		$283.02	$289.89	$410.57
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $709.49 / $709.49 / $709.49	Professional	54	$709.49	$709.49	$709.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.71 / $337.73 / $552.40	Facility		$89.71	$337.73	$552.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.11 / $377.45 / $471.81	Professional		$316.11	$377.45	$471.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.89 / $331.43 / $571.09	Professional		$238.89	$331.43	$571.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $332.85 / $1,216.00	Facility		$242.86	$332.85	$1,216.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $323.00 / $2,320.96	Professional		$235.98	$323.00	$2,320.96
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 $223.56 / $292.26 / $594.04	Professional		$223.56	$292.26	$594.04