Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,145.00 / $8,400.00	Facility		$800.00	$3,145.00	$8,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $167.62 / $178.79 / $213.88	Facility	54	$167.62	$178.79	$213.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $265.04 / $320.31	Professional		$221.57	$265.04	$320.31
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $166.18 / $198.78 / $256.25	Professional	54	$166.18	$198.78	$256.25
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.24 / $39.76 / $41.76	Professional	55	$33.24	$39.76	$41.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.52 / $219.52 / $274.39	Professional		$219.52	$219.52	$274.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.28 / $1,336.95 / $2,111.71	Facility		$845.28	$1,336.95	$2,111.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.10 / $288.98 / $320.08	Professional		$233.10	$288.98	$320.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.32 / $136.32 / $136.32	Facility		$136.32	$136.32	$136.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.58 / $312.11 / $505.97	Professional		$190.58	$312.11	$505.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.57 / $424.25 / $2,704.00	Facility		$221.57	$424.25	$2,704.00
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 $214.43 / $293.27 / $4,466.70	Professional		$214.43	$293.27	$4,466.70
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $5,025.04 / $5,025.04 / $5,025.04	Professional	50	$5,025.04	$5,025.04	$5,025.04
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.82 / $273.89 / $360.95	Professional		$201.82	$273.89	$360.95