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 $239.67 / $239.67 / $249.73	Facility	54	$239.67	$239.67	$249.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.11 / $319.56 / $400.40	Professional		$257.11	$319.56	$400.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $447.42 / $447.42	Professional		$447.42	$447.42	$447.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,291.66 / $1,871.92 / $2,606.03	Facility		$1,291.66	$1,871.92	$2,606.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.55 / $392.01 / $453.53	Professional		$291.55	$392.01	$453.53
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 $274.07 / $385.90 / $499.45	Professional		$274.07	$385.90	$499.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $307.25 / $415.02 / $1,482.40	Facility		$307.25	$415.02	$1,482.40
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,021.52 / $1,021.52 / $1,021.52	Facility	54	$1,021.52	$1,021.52	$1,021.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.56 / $348.38 / $2,416.23	Professional		$269.56	$348.38	$2,416.23
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 $263.02 / $322.20 / $475.11	Professional		$263.02	$322.20	$475.11