Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,500.00 / $10,439.00	Facility		$800.00	$3,500.00	$10,439.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.81 / $199.68 / $263.20	Facility	54	$187.81	$199.68	$263.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $221.87 / $350.95	Professional		$174.92	$221.87	$350.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $153.41 / $166.40 / $263.20	Professional	54	$153.41	$166.40	$263.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.21 / $202.43 / $350.86	Professional		$127.21	$202.43	$350.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,074.00 / $1,381.68 / $2,299.67	Facility		$1,074.00	$1,381.68	$2,299.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $295.18 / $312.11	Professional		$250.90	$295.18	$312.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.73 / $282.85 / $434.03	Professional		$203.73	$282.85	$434.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.29 / $289.18 / $582.88	Facility		$191.29	$289.18	$582.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $287.86 / $1,670.64	Professional		$219.39	$287.86	$1,670.64
United Facility/Professional Facility Modifier Low / Median / High Price $180.52 / $454.81 / $1,713.00	Facility		$180.52	$454.81	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $252.90 / $357.64	Professional		$218.79	$252.90	$357.64