Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.09 / $2,280.00 / $5,506.00	Facility		$437.09	$2,280.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.11 / $208.54 / $585.79	Professional		$172.11	$208.54	$585.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $124.94 / $153.41 / $817.59	Professional	54	$124.94	$153.41	$817.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $193.79 / $215.61	Professional		$186.80	$193.79	$215.61
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $256.20 / $256.20 / $521.70	Professional	54	$256.20	$256.20	$521.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,651.20 / $2,700.74	Facility		$438.60	$1,651.20	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.83 / $268.45 / $332.61	Professional		$224.83	$268.45	$332.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.92 / $245.40 / $412.08	Professional		$181.92	$245.40	$412.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.32 / $246.77 / $1,053.00	Facility		$201.32	$246.77	$1,053.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $681.37 / $681.37	Facility	54	$681.37	$681.37	$681.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $244.14 / $1,670.64	Professional		$180.74	$244.14	$1,670.64
United Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $1,535.00 / $2,175.00	Facility		$716.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $214.09 / $413.43	Professional		$180.09	$214.09	$413.43