Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,467.37 / $7,413.10	Facility		$575.44	$3,467.37	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.52 / $1,202.26 / $1,412.54	Facility	50	$1,071.52	$1,202.26	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $691.83	Professional		$251.19	$363.08	$691.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $436.52 / $1,023.29	Professional	50	$331.13	$436.52	$1,023.29
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $223.87 / $323.59 / $575.44	Professional	54	$223.87	$323.59	$575.44
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $9.33 / $56.23 / $79.43	Professional	55	$9.33	$56.23	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $380.19	Professional		$204.17	$288.40	$380.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $380.19 / $380.19 / $489.78	Professional	50	$380.19	$380.19	$489.78
Ambetter Facility/Professional Professional Modifier 55 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	55	$109.65	$109.65	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $1,380.38	Facility		$645.65	$870.96	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $616.60	Professional		$501.19	$501.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $575.44	Professional		$288.40	$407.38	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $512.86 / $3,981.07	Facility		$346.74	$512.86	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $2,511.89	Professional		$302.00	$371.54	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $2,570.40	Facility		$416.87	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $524.81	Professional		$288.40	$363.08	$524.81