Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.16 / $3,486.00 / $10,439.00	Facility		$589.16	$3,486.00	$10,439.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,082.20 / $1,212.28 / $1,396.54	Facility	50	$1,082.20	$1,212.28	$1,396.54
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $289.14 / $310.77 / $490.30	Facility	54	$289.14	$310.77	$490.30
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $61.96 / $66.59 / $98.06	Facility	55	$61.96	$66.59	$98.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.14 / $369.96 / $663.31	Professional		$269.14	$369.96	$663.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $409.91 / $409.91 / $423.98	Professional	50	$409.91	$409.91	$423.98
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $251.29 / $277.47 / $490.30	Professional	54	$251.29	$277.47	$490.30
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $50.26 / $55.49 / $98.06	Professional	55	$50.26	$55.49	$98.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $254.14 / $496.18	Professional		$118.08	$254.14	$496.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $864.51 / $1,438.28	Facility		$650.00	$864.51	$1,438.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.84 / $504.84 / $620.42	Professional		$504.84	$504.84	$620.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.44 / $432.22 / $575.08	Professional		$288.44	$432.22	$575.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $513.54 / $3,943.00	Facility		$344.22	$513.54	$3,943.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $396.73 / $2,322.88	Professional		$299.52	$396.73	$2,322.88
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,341.00 / $2,793.00	Facility		$525.00	$1,341.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $390.13 / $519.25	Professional		$299.52	$390.13	$519.25