Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $240.34 / $240.34 / $262.73	Facility	54	$240.34	$240.34	$262.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $320.45 / $350.30	Professional		$256.14	$320.45	$350.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $378.70 / $378.70	Professional		$378.70	$378.70	$378.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.80 / $1,878.12 / $2,945.72	Facility		$1,200.80	$1,878.12	$2,945.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $398.31 / $468.87	Professional		$290.50	$398.31	$468.87
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 $286.30 / $394.20 / $530.97	Professional		$286.30	$394.20	$530.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.64 / $414.47 / $1,492.48	Facility		$312.64	$414.47	$1,492.48
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,024.70 / $1,024.70 / $1,024.70	Facility	54	$1,024.70	$1,024.70	$1,024.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.85 / $373.38 / $2,579.60	Professional		$281.85	$373.38	$2,579.60
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $345.38 / $511.51	Professional		$276.30	$345.38	$511.51