Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $2,933.00 / $6,483.00	Facility		$1,582.00	$2,933.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $296.17 / $1,092.41	Professional		$234.68	$296.17	$1,092.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $522.73 / $2,233.42	Professional	50	$416.31	$522.73	$2,233.42
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $159.71 / $215.02 / $982.08	Professional	54	$159.71	$215.02	$982.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $31.94 / $41.82 / $188.00	Professional	55	$31.94	$41.82	$188.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.19 / $196.19 / $232.31	Professional		$196.19	$196.19	$232.31
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $348.46 / $348.46 / $348.46	Professional	50	$348.46	$348.46	$348.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.45 / $3,228.01 / $5,113.62	Facility		$830.45	$3,228.01	$5,113.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.94 / $215.72 / $237.84	Professional		$165.94	$215.72	$237.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.03 / $280.16 / $497.10	Professional		$198.03	$280.16	$497.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.95 / $375.99 / $2,649.00	Facility		$212.95	$375.99	$2,649.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $645.34 / $645.34 / $645.34	Facility	54	$645.34	$645.34	$645.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.03 / $315.83 / $4,509.17	Professional		$236.03	$315.83	$4,509.17
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $258.27 / $258.27 / $307.56	Professional	50	$258.27	$258.27	$307.56
United Facility/Professional Facility Modifier Low / Median / High Price $968.00 / $1,958.00 / $3,268.00	Facility		$968.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $272.61 / $474.67	Professional		$231.89	$272.61	$474.67