Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.25 / $4,241.22 / $13,841.56	Facility		$278.25	$4,241.22	$13,841.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $164.14 / $164.14 / $208.69	Facility	54	$164.14	$164.14	$208.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.85 / $411.05 / $655.84	Professional		$218.85	$411.05	$655.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $269.81 / $508.50 / $742.89	Professional	50	$269.81	$508.50	$742.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $164.14 / $273.36 / $937.04	Professional	54	$164.14	$273.36	$937.04
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $32.83 / $54.67 / $187.41	Professional	55	$32.83	$54.67	$187.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.61 / $179.61 / $436.42	Professional		$179.61	$179.61	$436.42
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 $232.11 / $405.56 / $562.00	Professional		$232.11	$405.56	$562.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.74 / $270.74 / $270.74	Facility		$270.74	$270.74	$270.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.04 / $673.00 / $856.04	Professional		$520.04	$673.00	$856.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.62 / $528.67 / $1,933.96	Facility		$262.62	$528.67	$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 $424.68 / $620.05 / $807.93	Professional		$424.68	$620.05	$807.93
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $321.63 / $321.63 / $802.20	Professional	50	$321.63	$321.63	$802.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $307.41 / $549.79 / $796.25	Facility		$307.41	$549.79	$796.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $460.12 / $624.52 / $799.60	Professional		$460.12	$624.52	$799.60
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 $472.98 / $628.53 / $792.74	Professional		$472.98	$628.53	$792.74