Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,238.00 / $2,250.00	Facility		$575.00	$1,238.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,181.08 / $1,181.08 / $1,181.08	Facility	54	$1,181.08	$1,181.08	$1,181.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $1,023.54 / $1,578.94	Professional		$599.08	$1,023.54	$1,578.94
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.02 / $171.03 / $236.84	Professional	55	$114.02	$171.03	$236.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $714.24 / $714.24 / $714.24	Professional		$714.24	$714.24	$714.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.94 / $1,485.31 / $1,998.21	Facility		$1,223.94	$1,485.31	$1,998.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.40 / $892.00 / $981.20	Professional		$624.40	$892.00	$981.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.09 / $734.70 / $2,525.09	Professional		$565.09	$734.70	$2,525.09
United Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $2,891.00 / $4,402.00	Facility		$834.00	$2,891.00	$4,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.15 / $744.07 / $985.91	Professional		$602.15	$744.07	$985.91