Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,359.00 / $5,506.00	Facility		$936.00	$2,359.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.35 / $196.16 / $497.00	Professional		$156.35	$196.16	$497.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $112.35 / $144.75 / $740.87	Professional	54	$112.35	$144.75	$740.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $194.94 / $194.94	Professional		$194.94	$194.94	$194.94
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $470.28 / $470.28 / $470.28	Professional	54	$470.28	$470.28	$470.28
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 $212.22 / $253.40 / $312.33	Professional		$212.22	$253.40	$312.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.53 / $219.96 / $382.70	Professional		$162.53	$219.96	$382.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $235.17 / $1,053.00	Facility		$181.31	$235.17	$1,053.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $641.12 / $641.12 / $641.12	Facility	54	$641.12	$641.12	$641.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $220.74 / $1,554.96	Professional		$163.80	$220.74	$1,554.96
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 $157.09 / $199.93 / $374.59	Professional		$157.09	$199.93	$374.59