Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.93 / $3,637.00 / $10,439.00	Facility		$415.93	$3,637.00	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,701.00 / $1,701.00 / $1,701.00	Facility	50	$1,701.00	$1,701.00	$1,701.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $204.84 / $245.22 / $302.27	Facility	54	$204.84	$245.22	$302.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $277.54 / $415.93	Professional		$227.60	$277.54	$415.93
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $170.70 / $204.35 / $361.33	Professional	54	$170.70	$204.35	$361.33
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.52 / $40.86 / $72.27	Professional	55	$33.52	$40.86	$72.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $243.99 / $367.65	Professional		$122.00	$243.99	$367.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.41 / $166.58 / $399.79	Facility		$142.41	$166.58	$399.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.70 / $601.98 / $687.88	Professional		$584.70	$601.98	$687.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.94 / $319.63 / $588.00	Professional		$210.94	$319.63	$588.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $403.03 / $1,541.00	Facility		$55.00	$403.03	$1,541.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $343.16 / $3,680.00	Professional		$252.27	$343.16	$3,680.00
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,341.00 / $2,793.00	Facility		$525.00	$1,341.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.20 / $327.91 / $477.07	Professional		$248.20	$327.91	$477.07