Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $9,332.54	Facility		$2,089.30	$5,011.87	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $3,311.31	Professional		$691.83	$1,047.13	$3,311.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $524.81 / $724.44 / $1,348.96	Professional	54	$524.81	$724.44	$1,348.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $977.24	Professional		$416.87	$660.69	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,801.89 / $5,623.41	Facility		$1,174.90	$3,801.89	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,348.96	Professional		$645.65	$741.31	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,412.54	Facility		$1,000.00	$1,000.00	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,778.28	Professional		$691.83	$870.96	$1,778.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $5,128.61	Facility		$776.25	$2,238.72	$5,128.61
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,348.96 / $1,348.96 / $4,570.88	Facility	54	$1,348.96	$1,348.96	$4,570.88
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $288.40 / $288.40 / $977.24	Facility	55	$288.40	$288.40	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $6,918.31	Professional		$691.83	$1,000.00	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $5,370.32	Facility		$1,949.84	$3,019.95	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,445.44	Professional		$691.83	$870.96	$1,445.44