Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $1,223.00 / $2,250.00	Facility		$615.00	$1,223.00	$2,250.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $441.38 / $442.81 / $474.44	Facility	54	$441.38	$442.81	$474.44
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $88.28 / $88.28 / $94.89	Facility	55	$88.28	$88.28	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $414.07 / $686.32	Professional		$257.89	$414.07	$686.32
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $217.84 / $351.27 / $484.96	Professional	54	$217.84	$351.27	$484.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $43.57 / $70.25 / $96.99	Professional	55	$43.57	$70.25	$96.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.59 / $290.11 / $351.84	Professional		$219.59	$290.11	$351.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $414.68 / $435.17 / $527.76	Professional	50	$414.68	$435.17	$527.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.52 / $857.40 / $1,153.47	Facility		$706.52	$857.40	$1,153.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $315.14 / $346.65	Professional		$215.09	$315.14	$346.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $319.17 / $1,105.19	Professional		$248.00	$319.17	$1,105.19
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,234.00 / $2,481.00	Facility		$375.00	$1,234.00	$2,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.43 / $313.58 / $407.09	Professional		$254.43	$313.58	$407.09