Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.47 / $2,391.00 / $9,133.00	Facility		$496.47	$2,391.00	$9,133.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $356.48 / $393.88 / $514.36	Facility	54	$356.48	$393.88	$514.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.58 / $437.64 / $685.81	Professional		$366.58	$437.64	$685.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.59 / $338.59 / $338.59	Professional		$338.59	$338.59	$338.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.20 / $1,381.68 / $2,299.67	Facility		$984.20	$1,381.68	$2,299.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.17 / $554.32 / $604.00	Professional		$471.17	$554.32	$604.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $330.00 / $330.00	Facility		$330.00	$330.00	$330.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.04 / $547.75 / $856.13	Professional		$411.04	$547.75	$856.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $394.22 / $552.23 / $1,197.92	Facility		$394.22	$552.23	$1,197.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.61 / $569.66 / $3,238.80	Professional		$438.61	$569.66	$3,238.80
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.99 / $494.71 / $701.63	Professional		$431.99	$494.71	$701.63