Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,640.00 / $5,506.00	Facility		$1,162.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.03 / $305.91 / $720.26	Professional		$248.03	$305.91	$720.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.95 / $113.95 / $113.95	Professional		$113.95	$113.95	$113.95
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 $339.97 / $405.94 / $491.78	Professional		$339.97	$405.94	$491.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.67 / $363.04 / $616.26	Professional		$268.67	$363.04	$616.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $360.80 / $1,221.00	Facility		$293.39	$360.80	$1,221.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,009.86 / $1,009.86 / $1,009.86	Facility	54	$1,009.86	$1,009.86	$1,009.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.69 / $360.75 / $2,500.16	Professional		$272.69	$360.75	$2,500.16
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 $265.32 / $322.88 / $612.16	Professional		$265.32	$322.88	$612.16