Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.32 / $3,908.01 / $13,841.56	Facility		$644.32	$3,908.01	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $418.97 / $418.97 / $483.24	Facility	54	$418.97	$418.97	$483.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.62 / $929.72 / $3,188.69	Professional		$558.62	$929.72	$3,188.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,313.19 / $2,313.19 / $2,313.19	Professional	50	$2,313.19	$2,313.19	$2,313.19
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $418.97 / $697.29 / $2,391.52	Professional	54	$418.97	$697.29	$2,391.52
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $83.79 / $139.46 / $478.30	Professional	55	$83.79	$139.46	$478.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,510.35 / $1,510.35 / $1,510.35	Professional		$1,510.35	$1,510.35	$1,510.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.05 / $1,501.83 / $2,928.46	Facility		$1,151.05	$1,501.83	$2,928.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.41 / $997.49 / $1,332.76	Professional		$586.41	$997.49	$1,332.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $743.96 / $743.96 / $743.96	Facility		$743.96	$743.96	$743.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.99 / $1,542.20 / $1,997.42	Professional		$1,297.99	$1,542.20	$1,997.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.32 / $1,095.33 / $4,230.84	Facility		$644.32	$1,095.33	$4,230.84
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 $927.99 / $1,394.51 / $1,857.35	Professional		$927.99	$1,394.51	$1,857.35
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,062.61 / $1,062.61 / $1,071.42	Professional	54	$1,062.61	$1,062.61	$1,071.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $800.75 / $1,297.99 / $1,842.32	Facility		$800.75	$1,297.99	$1,842.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,026.00 / $1,397.41 / $1,842.32	Professional		$1,026.00	$1,397.41	$1,842.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $3,726.00 / $7,934.00	Facility		$3,044.00	$3,726.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.94 / $1,511.52 / $1,816.11	Professional		$1,031.94	$1,511.52	$1,816.11