Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,683.00 / $8,400.00	Facility		$800.00	$3,683.00	$8,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $240.33 / $240.33 / $269.00	Facility	54	$240.33	$240.33	$269.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $320.44 / $358.67	Professional		$276.31	$320.44	$358.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.94 / $408.94 / $408.94	Professional		$408.94	$408.94	$408.94
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 $293.41 / $398.90 / $474.67	Professional		$293.41	$398.90	$474.67
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 $272.29 / $395.61 / $538.34	Professional		$272.29	$395.61	$538.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.41 / $417.77 / $1,201.84	Facility		$307.41	$417.77	$1,201.84
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,020.47 / $1,020.47 / $1,020.47	Facility	54	$1,020.47	$1,020.47	$1,020.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.95 / $382.95 / $2,621.60	Professional		$290.95	$382.95	$2,621.60
United Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $604.50 / $1,883.00	Facility		$105.76	$604.50	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $357.75 / $512.41	Professional		$281.50	$357.75	$512.41