Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,613.00 / $2,250.00	Facility		$888.00	$1,613.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,069.56 / $1,069.56 / $1,069.56	Facility	54	$1,069.56	$1,069.56	$1,069.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $746.75 / $1,198.33 / $1,426.08	Professional		$746.75	$1,198.33	$1,426.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $706.24 / $706.24 / $706.24	Professional		$706.24	$706.24	$706.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.62 / $5,444.73 / $7,324.90	Facility		$4,486.62	$5,444.73	$7,324.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $1,275.73 / $1,403.30	Professional		$893.01	$1,275.73	$1,403.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $981.33 / $3,214.60	Professional		$427.26	$981.33	$3,214.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,074.00 / $3,816.00 / $7,227.00	Facility		$1,074.00	$3,816.00	$7,227.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.59 / $917.81 / $1,358.78	Professional		$724.59	$917.81	$1,358.78