Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $2,984.00 / $7,365.00	Facility		$252.68	$2,984.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $788.58 / $788.58 / $788.58	Facility	50	$788.58	$788.58	$788.58
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $158.12 / $189.51 / $220.49	Facility	54	$158.12	$189.51	$220.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.30 / $267.50 / $420.30	Professional		$210.30	$267.50	$420.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $343.26 / $632.04 / $1,639.19	Professional	50	$343.26	$632.04	$1,639.19
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $138.06 / $189.51 / $282.18	Professional	54	$138.06	$189.51	$282.18
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $27.61 / $37.04 / $47.21	Professional	55	$27.61	$37.04	$47.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $184.87 / $289.95	Professional		$122.00	$184.87	$289.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $275.63 / $275.63 / $288.76	Professional	50	$275.63	$275.63	$288.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $338.36 / $503.91	Professional		$217.82	$338.36	$503.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $326.73 / $507.55 / $755.86	Professional	50	$326.73	$507.55	$755.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.65 / $144.65 / $386.00	Facility		$144.65	$144.65	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.20 / $339.25 / $596.91	Professional		$196.20	$339.25	$596.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $478.86 / $1,836.00	Facility		$55.00	$478.86	$1,836.00
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 $247.68 / $356.80 / $4,509.17	Professional		$247.68	$356.80	$4,509.17
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $405.49 / $608.24 / $902.54	Professional	50	$405.49	$608.24	$902.54
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,664.00	Facility		$899.00	$1,632.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.21 / $318.76 / $498.83	Professional		$234.21	$318.76	$498.83