Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.71 / $1,050.98 / $2,812.00	Facility		$684.71	$1,050.98	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $513.53 / $563.15 / $619.47	Facility	54	$513.53	$563.15	$619.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.42 / $587.47 / $825.96	Professional		$469.42	$587.47	$825.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $350.96 / $513.53 / $730.31	Professional	54	$350.96	$513.53	$730.31
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $70.19 / $102.71 / $146.06	Professional	55	$70.19	$102.71	$146.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.89 / $443.89 / $973.51	Professional		$443.89	$443.89	$973.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.50 / $887.50 / $1,065.00	Facility		$887.50	$887.50	$1,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.89 / $845.59 / $971.06	Professional		$638.89	$845.59	$971.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.64 / $1,639.64 / $1,639.64	Facility		$1,639.64	$1,639.64	$1,639.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.00 / $809.52 / $1,171.17	Professional		$548.00	$809.52	$1,171.17
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,229.00 / $2,539.00	Facility		$590.00	$1,229.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.75 / $700.50 / $1,240.16	Professional		$569.75	$700.50	$1,240.16