Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.72 / $1,223.00 / $2,250.00	Facility		$469.72	$1,223.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.56 / $314.20 / $375.78	Facility	54	$294.56	$314.20	$375.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $289.20 / $469.72	Professional		$206.94	$289.20	$469.72
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $155.21 / $260.67 / $375.78	Professional	54	$155.21	$260.67	$375.78
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $30.19 / $52.13 / $70.45	Professional	55	$30.19	$52.13	$70.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $214.88 / $290.08	Professional		$196.19	$214.88	$290.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $322.32 / $322.32 / $348.46	Professional	50	$322.32	$322.32	$348.46
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 $331.62 / $499.71 / $590.91	Professional		$331.62	$499.71	$590.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $310.00 / $866.00	Professional		$170.29	$310.00	$866.00
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,234.00 / $2,481.00	Facility		$375.00	$1,234.00	$2,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $239.66 / $320.19	Professional		$193.39	$239.66	$320.19