Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.00 / $3,506.00 / $10,439.00	Facility		$1,361.00	$3,506.00	$10,439.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.51 / $186.79 / $244.43	Facility	54	$175.51	$186.79	$244.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $207.54 / $325.91	Professional		$152.50	$207.54	$325.91
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $142.43 / $155.66 / $244.43	Professional	54	$142.43	$155.66	$244.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $180.44 / $180.44	Professional		$180.44	$180.44	$180.44
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $118.71 / $118.71 / $118.71	Professional	54	$118.71	$118.71	$118.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.00 / $768.56 / $1,279.35	Facility		$598.00	$768.56	$1,279.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.59 / $250.10 / $269.02	Professional		$212.59	$250.10	$269.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $256.32 / $406.01	Professional		$177.13	$256.32	$406.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.51 / $266.89 / $523.00	Facility		$178.51	$266.89	$523.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $258.39 / $1,554.96	Professional		$199.07	$258.39	$1,554.96
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 $194.78 / $228.57 / $335.22	Professional		$194.78	$228.57	$335.22