Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,142.63 / $2,250.00	Facility		$575.00	$1,142.63	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $856.97 / $856.97 / $986.40	Facility	54	$856.97	$856.97	$986.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.07 / $842.56 / $1,315.20	Professional		$530.07	$842.56	$1,315.20
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $438.29 / $730.31 / $986.40	Professional	54	$438.29	$730.31	$986.40
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $87.66 / $146.06 / $197.28	Professional	55	$87.66	$146.06	$197.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $684.54 / $684.54 / $684.54	Professional		$684.54	$684.54	$684.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.52 / $857.40 / $1,153.47	Facility		$706.52	$857.40	$1,153.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.81 / $751.00 / $826.10	Professional		$508.81	$751.00	$826.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.26 / $628.75 / $2,282.17	Professional		$475.26	$628.75	$2,282.17
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,768.00 / $3,360.00	Facility		$625.00	$1,768.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $649.11 / $840.60	Professional		$534.25	$649.11	$840.60