Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,630.78 / $7,943.28	Facility		$257.04	$3,630.78	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $281.84	Professional		$102.33	$138.04	$281.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $114.82 / $229.09	Professional	54	$114.82	$114.82	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $177.83	Professional		$97.72	$114.82	$177.83
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $67.61 / $69.18 / $107.15	Professional	54	$67.61	$69.18	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $645.65	Facility		$309.03	$407.38	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $173.78	Professional		$169.82	$169.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $478.63	Facility		$109.65	$169.82	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $933.25	Professional		$120.23	$162.18	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $1,778.28	Facility		$177.83	$416.87	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $194.98	Professional		$114.82	$141.25	$194.98