Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.20 / $3,023.00 / $8,400.00	Facility		$394.20	$3,023.00	$8,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.47 / $234.47 / $259.62	Facility	54	$234.47	$234.47	$259.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $312.63 / $346.16	Professional		$266.07	$312.63	$346.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $336.45 / $503.60 / $503.60	Professional		$336.45	$503.60	$503.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.80 / $1,878.12 / $2,945.72	Facility		$1,200.80	$1,878.12	$2,945.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.10 / $387.36 / $453.48	Professional		$282.10	$387.36	$453.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $207.85 / $207.85	Facility		$207.85	$207.85	$207.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $381.10 / $511.45	Professional		$279.39	$381.10	$511.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $403.65 / $1,450.88	Facility		$308.95	$403.65	$1,450.88
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $997.15 / $997.15 / $997.15	Facility	54	$997.15	$997.15	$997.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $361.62 / $2,533.04	Professional		$271.95	$361.62	$2,533.04
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $320.91 / $454.57	Professional		$252.32	$320.91	$454.57