Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.96 / $707.96 / $3,141.00	Professional		$517.96	$707.96	$3,141.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $452.97 / $539.47 / $2,737.34	Professional	54	$452.97	$539.47	$2,737.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $90.59 / $107.89 / $547.47	Professional	55	$90.59	$107.89	$547.47
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 $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.66 / $549.10 / $666.77	Professional		$470.66	$549.10	$666.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $453.00	Facility		$150.00	$150.00	$453.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.34 / $653.89 / $1,377.76	Professional		$500.34	$653.89	$1,377.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $852.80 / $3,269.00	Facility		$528.00	$852.80	$3,269.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,904.24 / $1,904.24 / $1,904.24	Facility	54	$1,904.24	$1,904.24	$1,904.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.46 / $685.26 / $5,169.60	Professional		$534.46	$685.26	$5,169.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $2,522.00 / $5,029.00	Facility		$1,566.00	$2,522.00	$5,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.30 / $659.94 / $1,312.15	Professional		$510.30	$659.94	$1,312.15