Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.93 / $3,220.00 / $9,133.00	Facility		$423.93	$3,220.00	$9,133.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $283.01 / $317.74 / $415.22	Facility	54	$283.01	$317.74	$415.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $353.04 / $553.62	Professional		$288.18	$353.04	$553.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $327.60	Professional		$327.60	$327.60	$327.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.85 / $1,080.40 / $1,779.96	Facility		$762.85	$1,080.40	$1,779.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $418.26 / $462.54	Professional		$355.52	$418.26	$462.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $435.28 / $690.63	Professional		$314.66	$435.28	$690.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.77 / $431.84 / $889.96	Facility		$286.77	$431.84	$889.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.76 / $449.16 / $2,621.60	Professional		$348.76	$449.16	$2,621.60
United Facility/Professional Facility Modifier Low / Median / High Price $269.02 / $500.00 / $1,713.00	Facility		$269.02	$500.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.31 / $401.46 / $586.75	Professional		$341.31	$401.46	$586.75