Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.98 / $2,507.00 / $7,365.00	Facility		$712.98	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $463.48 / $534.74 / $594.15	Facility	54	$463.48	$534.74	$594.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.63 / $712.98 / $1,059.95	Professional		$515.63	$712.98	$1,059.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $386.72 / $539.29 / $690.25	Professional	54	$386.72	$539.29	$690.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $77.34 / $107.86 / $138.05	Professional	55	$77.34	$107.86	$138.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.89 / $443.89 / $742.37	Professional		$443.89	$443.89	$742.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.31 / $673.96 / $989.59	Professional		$496.31	$673.96	$989.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $744.46 / $1,010.94 / $1,484.38	Professional	50	$744.46	$1,010.94	$1,484.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.00 / $386.00 / $549.01	Facility		$386.00	$386.00	$549.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.95 / $768.00 / $1,387.38	Professional		$515.95	$768.00	$1,387.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $666.45 / $1,435.00 / $12,000.00	Facility		$666.45	$1,435.00	$12,000.00
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 $606.53 / $889.64 / $5,169.60	Professional		$606.53	$889.64	$5,169.60
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,808.00 / $3,071.00	Facility		$825.00	$1,808.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $606.53 / $786.71 / $1,383.24	Professional		$606.53	$786.71	$1,383.24