Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $6,870.00 / $13,151.00	Facility		$2,415.00	$6,870.00	$13,151.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $897.90 / $897.90 / $1,324.62	Facility	54	$897.90	$897.90	$1,324.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $997.67 / $1,766.16	Professional		$782.64	$997.67	$1,766.16
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $146.88 / $149.65 / $264.92	Professional	55	$146.88	$149.65	$264.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $809.20 / $809.20	Professional		$809.20	$809.20	$809.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.55 / $2,570.50 / $4,278.26	Facility		$1,832.55	$2,570.50	$4,278.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.89 / $1,529.28 / $1,529.28	Professional		$1,299.89	$1,529.28	$1,529.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,848.00 / $6,848.00 / $6,848.00	Facility		$6,848.00	$6,848.00	$6,848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.24 / $1,191.22 / $1,596.35	Professional		$838.24	$1,191.22	$1,596.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.67 / $1,521.00 / $26,542.00	Facility		$997.67	$1,521.00	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.91 / $1,087.55 / $6,715.76	Professional		$900.91	$1,087.55	$6,715.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,418.00 / $2,902.00 / $5,565.00	Facility		$1,418.00	$2,902.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.01 / $1,087.55 / $1,534.53	Professional		$893.01	$1,087.55	$1,534.53