Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $4,521.00 / $8,326.00	Facility		$1,965.00	$4,521.00	$8,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.41 / $932.63 / $1,476.23	Professional		$738.41	$932.63	$1,476.23
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $127.00 / $159.37 / $718.19	Professional	55	$127.00	$159.37	$718.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,048.89 / $1,048.89 / $1,048.89	Professional		$1,048.89	$1,048.89	$1,048.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,229.12 / $6,699.52	Facility		$1,088.00	$4,229.12	$6,699.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.93 / $813.06 / $958.98	Professional		$680.93	$813.06	$958.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $862.00 / $1,222.00	Facility		$862.00	$862.00	$1,222.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.19 / $925.94 / $1,954.17	Professional		$715.19	$925.94	$1,954.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.51 / $2,052.00 / $5,034.00	Facility		$871.51	$2,052.00	$5,034.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,628.84 / $1,628.84 / $4,569.92	Facility	54	$1,628.84	$1,628.84	$4,569.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $897.40 / $6,715.76	Professional		$720.72	$897.40	$6,715.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $3,339.00 / $5,838.00	Facility		$2,286.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.17 / $871.76 / $1,695.81	Professional		$709.17	$871.76	$1,695.81