Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.68 / $1,760.00 / $7,365.00	Facility		$331.68	$1,760.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $181.53 / $211.26 / $252.85	Facility	54	$181.53	$211.26	$252.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $290.12 / $526.50	Professional		$227.86	$290.12	$526.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $656.15 / $656.15 / $1,026.47	Professional	50	$656.15	$656.15	$1,026.47
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $167.55 / $212.66 / $270.51	Professional	54	$167.55	$212.66	$270.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $33.51 / $42.53 / $54.10	Professional	55	$33.51	$42.53	$54.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $259.33 / $372.95	Professional		$220.22	$259.33	$372.95
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 $246.57 / $371.27 / $573.26	Professional		$246.57	$371.27	$573.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $369.85 / $556.90 / $859.89	Professional	50	$369.85	$556.90	$859.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.79 / $199.79 / $386.00	Facility		$199.79	$199.79	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.04 / $375.66 / $773.03	Professional		$224.04	$375.66	$773.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $542.44 / $1,933.96	Facility		$55.00	$542.44	$1,933.96
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 $284.97 / $420.82 / $2,831.00	Professional		$284.97	$420.82	$2,831.00
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 $279.49 / $389.41 / $604.38	Professional		$279.49	$389.41	$604.38