Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,276.00 / $5,506.00	Facility		$1,170.00	$2,276.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $294.98 / $744.46	Professional		$240.37	$294.98	$744.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $341.79 / $508.50 / $2,704.50	Professional	50	$341.79	$508.50	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $183.13 / $230.48 / $1,089.47	Professional	54	$183.13	$230.48	$1,089.47
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $36.63 / $46.10 / $217.89	Professional	55	$36.63	$46.10	$217.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $223.50 / $266.38	Professional		$177.58	$223.50	$266.38
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $377.15 / $377.15 / $399.56	Professional	50	$377.15	$377.15	$399.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,283.06 / $3,616.69	Facility		$587.35	$2,283.06	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $251.70 / $288.30	Professional		$201.14	$251.70	$288.30
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 $227.42 / $344.76 / $563.72	Professional		$227.42	$344.76	$563.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.18 / $439.45 / $2,649.00	Facility		$244.18	$439.45	$2,649.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $740.71 / $740.71 / $740.71	Facility	54	$740.71	$740.71	$740.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.17 / $382.20 / $2,831.00	Professional		$280.17	$382.20	$2,831.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $330.33 / $330.33 / $330.33	Professional	50	$330.33	$330.33	$330.33
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 $276.54 / $343.00 / $595.19	Professional		$276.54	$343.00	$595.19