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 $584.94 / $709.39 / $1,113.95	Professional		$584.94	$709.39	$1,113.95
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $98.09 / $106.41 / $129.53	Professional	55	$98.09	$106.41	$129.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $515.91 / $612.84 / $773.88	Professional		$515.91	$612.84	$773.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,806.46 / $7,021.83 / $11,123.56	Facility		$1,806.46	$7,021.83	$11,123.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.33 / $617.70 / $726.62	Professional		$517.33	$617.70	$726.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.49 / $777.47 / $1,493.87	Professional		$621.49	$777.47	$1,493.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.39 / $4,637.00 / $8,209.00	Facility		$709.39	$4,637.00	$8,209.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $353.55 / $353.55 / $4,042.62	Facility	53	$353.55	$353.55	$4,042.62
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,237.43 / $1,237.43 / $14,149.17	Facility	54	$1,237.43	$1,237.43	$14,149.17
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $265.16 / $265.16 / $3,031.96	Facility	55	$265.16	$265.16	$3,031.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $750.51 / $1,764.11	Professional		$632.00	$750.51	$1,764.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $6,477.00 / $8,586.00	Facility		$4,112.00	$6,477.00	$8,586.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.00 / $730.75 / $1,296.27	Professional		$632.00	$730.75	$1,296.27