Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.68 / $4,470.00 / $12,154.00	Facility		$351.68	$4,470.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $266.02 / $279.39 / $365.87	Facility	54	$266.02	$279.39	$365.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.84 / $310.43 / $487.82	Professional		$244.84	$310.43	$487.82
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $213.30 / $232.82 / $365.87	Professional	54	$213.30	$232.82	$365.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $283.02 / $292.79	Professional		$179.64	$283.02	$292.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $410.67 / $681.78	Facility		$319.00	$410.67	$681.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $356.10 / $380.02	Professional		$302.69	$356.10	$380.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.49 / $383.12 / $607.28	Professional		$264.49	$383.12	$607.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.87 / $390.26 / $775.98	Facility		$263.87	$390.26	$775.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $381.15 / $2,320.96	Professional		$276.08	$381.15	$2,320.96
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,713.00	Facility		$191.00	$526.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $343.19 / $499.80	Professional		$270.89	$343.19	$499.80