Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.29 / $3,131.00 / $10,439.00	Facility		$602.29	$3,131.00	$10,439.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $395.42 / $438.75 / $572.09	Facility	54	$395.42	$438.75	$572.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.36 / $487.50 / $762.79	Professional		$439.36	$487.50	$762.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $460.07 / $460.07 / $460.07	Professional		$460.07	$460.07	$460.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $984.20 / $1,381.68 / $2,503.53	Facility		$984.20	$1,381.68	$2,503.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.14 / $646.04 / $706.90	Professional		$549.14	$646.04	$706.90
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 $449.81 / $608.63 / $953.68	Professional		$449.81	$608.63	$953.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $439.36 / $655.48 / $1,743.00	Facility		$439.36	$655.48	$1,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $632.44 / $3,606.48	Professional		$486.49	$632.44	$3,606.48
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.67 / $546.96 / $783.37	Professional		$480.67	$546.96	$783.37