Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,606.93	Facility		$316.23	$2,089.30	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $691.83	Professional		$251.19	$316.23	$691.83
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $398.11 / $602.56	Professional	54	$295.12	$398.11	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $309.03	Professional		$194.98	$194.98	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,818.38	Facility		$1,122.02	$1,737.80	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $398.11	Professional		$269.15	$354.81	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $467.74	Professional		$251.19	$346.74	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $1,548.82	Facility		$245.47	$380.19	$1,548.82
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	54	$977.24	$977.24	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $2,344.23	Professional		$245.47	$331.13	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $616.60 / $1,659.59	Facility		$138.04	$616.60	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $380.19	Professional		$218.78	$275.42	$380.19