Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,582.00 / $2,897.00 / $6,483.00	Facility		$1,582.00	$2,897.00	$6,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $345.07 / $1,389.00	Professional		$269.14	$345.07	$1,389.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $493.94 / $1,425.00 / $2,346.00	Professional	50	$493.94	$1,425.00	$2,346.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $234.68 / $278.30 / $1,241.96	Professional	54	$234.68	$278.30	$1,241.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $46.94 / $55.43 / $265.54	Professional	55	$46.94	$55.43	$265.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.56 / $278.30 / $351.84	Professional		$234.56	$278.30	$351.84
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $527.76 / $527.76 / $584.42	Professional	50	$527.76	$527.76	$584.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.35 / $2,211.19 / $3,616.69	Facility		$587.35	$2,211.19	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.13 / $301.10 / $338.82	Professional		$246.13	$301.10	$338.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $607.00	Facility		$250.00	$250.00	$607.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $322.86 / $674.00	Professional		$247.14	$322.86	$674.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.37 / $486.24 / $2,633.00	Facility		$262.37	$486.24	$2,633.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $979.13 / $979.13 / $979.13	Facility	54	$979.13	$979.13	$979.13
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $209.81 / $209.81 / $209.81	Facility	55	$209.81	$209.81	$209.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $335.52 / $2,492.32	Professional		$257.93	$335.52	$2,492.32
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 $249.86 / $317.22 / $632.40	Professional		$249.86	$317.22	$632.40