Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $2,508.00 / $7,500.00	Facility		$270.33	$2,508.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $147.38 / $147.38 / $156.44	Facility	54	$147.38	$147.38	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.97 / $196.51 / $251.11	Professional		$163.97	$196.51	$251.11
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $126.23 / $150.22 / $156.44	Professional	54	$126.23	$150.22	$156.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.44 / $180.44 / $180.44	Professional		$180.44	$180.44	$180.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.89 / $1,404.36 / $2,202.66	Facility		$897.89	$1,404.36	$2,202.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $238.59 / $285.49	Professional		$177.45	$238.59	$285.49
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 $159.43 / $230.55 / $315.54	Professional		$159.43	$230.55	$315.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.69 / $248.05 / $940.92	Facility		$179.69	$248.05	$940.92
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 $164.58 / $218.57 / $1,554.96	Professional		$164.58	$218.57	$1,554.96
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 $163.41 / $204.27 / $300.39	Professional		$163.41	$204.27	$300.39