Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.54 / $3,576.00 / $7,500.00	Facility		$689.54	$3,576.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $387.43 / $387.43 / $421.64	Facility	54	$387.43	$387.43	$421.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $516.57 / $562.17	Professional		$449.54	$516.57	$562.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $228.49 / $228.49	Professional		$228.49	$228.49	$228.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,182.21 / $1,878.12 / $2,967.41	Facility		$1,182.21	$1,878.12	$2,967.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.08 / $642.11 / $741.66	Professional		$485.08	$642.11	$741.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,351.42 / $1,351.42 / $1,351.42	Facility		$1,351.42	$1,351.42	$1,351.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.25 / $646.27 / $839.18	Professional		$466.25	$646.27	$839.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.57 / $683.24 / $2,974.00	Facility		$516.57	$683.24	$2,974.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,610.71 / $1,610.71 / $1,610.71	Facility	54	$1,610.71	$1,610.71	$1,610.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.90 / $612.15 / $4,043.60	Professional		$461.90	$612.15	$4,043.60
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.20 / $556.50 / $799.57	Professional		$445.20	$556.50	$799.57