Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $4,241.22 / $13,841.56	Facility		$228.44	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $143.03 / $143.03 / $171.33	Facility	54	$143.03	$143.03	$171.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $384.38 / $1,092.41	Professional		$190.70	$384.38	$1,092.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.31 / $587.26 / $954.27	Professional	50	$416.31	$587.26	$954.27
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $143.03 / $236.47 / $982.08	Professional	54	$143.03	$236.47	$982.08
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $28.61 / $47.29 / $163.86	Professional	55	$28.61	$47.29	$163.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $128.91 / $381.15	Professional		$128.91	$128.91	$381.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $800.90 / $800.90 / $800.90	Professional	50	$800.90	$800.90	$800.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,102.00 / $4,047.33 / $7,892.00	Facility		$3,102.00	$4,047.33	$7,892.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $343.19 / $461.31	Professional		$201.34	$343.19	$461.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $196.02	Facility		$196.02	$196.02	$196.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $561.73 / $702.16	Professional		$453.30	$561.73	$702.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $434.04 / $1,775.00	Facility		$228.44	$434.04	$1,775.00
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 $350.88 / $526.32 / $928.61	Professional		$350.88	$526.32	$928.61
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $658.59 / $711.92 / $928.20	Professional	50	$658.59	$711.92	$928.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.90 / $459.03 / $652.13	Facility		$219.90	$459.03	$652.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $399.56 / $542.85 / $690.84	Professional		$399.56	$542.85	$690.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.71 / $545.13 / $691.66	Professional		$389.71	$545.13	$691.66