Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.90 / $3,158.00 / $10,439.00	Facility		$549.90	$3,158.00	$10,439.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.96 / $298.51 / $439.27	Facility	54	$234.96	$298.51	$439.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.68 / $331.68 / $577.24	Professional		$255.68	$331.68	$577.24
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $191.76 / $248.76 / $439.27	Professional	54	$191.76	$248.76	$439.27
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $38.35 / $49.75 / $87.85	Professional	55	$38.35	$49.75	$87.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.04 / $279.04 / $279.04	Professional		$279.04	$279.04	$279.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.11 / $232.88 / $558.91	Facility		$199.11	$232.88	$558.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.36 / $421.36 / $507.99	Professional		$421.36	$421.36	$507.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.89 / $385.74 / $585.00	Professional		$254.89	$385.74	$585.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $463.00 / $1,576.00	Facility		$55.00	$463.00	$1,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.41 / $402.93 / $2,831.00	Professional		$303.41	$402.93	$2,831.00
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 $301.95 / $396.97 / $647.45	Professional		$301.95	$396.97	$647.45