Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.22 / $2,507.00 / $6,284.00	Facility		$344.22	$2,507.00	$6,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $843.62 / $1,082.20 / $1,212.28	Facility	50	$843.62	$1,082.20	$1,212.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $239.55 / $257.56 / $284.05	Facility	54	$239.55	$257.56	$284.05
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $47.91 / $51.51 / $56.81	Facility	55	$47.91	$51.51	$56.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $344.22 / $541.62	Professional		$247.80	$344.22	$541.62
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $423.98 / $600.00 / $754.12	Professional	50	$423.98	$600.00	$754.12
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $222.42 / $277.47 / $382.90	Professional	54	$222.42	$277.47	$382.90
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $37.17 / $55.49 / $71.29	Professional	55	$37.17	$55.49	$71.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.87 / $340.69 / $463.75	Professional		$269.87	$340.69	$463.75
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $409.90 / $409.90 / $538.02	Professional	50	$409.90	$409.90	$538.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $2,318.00 / $7,043.00	Facility		$821.00	$2,318.00	$7,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $345.73 / $555.40	Professional		$263.00	$345.73	$555.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $394.50 / $518.59 / $833.10	Professional	50	$394.50	$518.59	$833.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.01 / $326.01 / $517.00	Facility		$326.01	$326.01	$517.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.97 / $373.23 / $671.61	Professional		$266.97	$373.23	$671.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.41 / $807.25 / $16,394.00	Facility		$343.41	$807.25	$16,394.00
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 $288.35 / $428.74 / $2,492.32	Professional		$288.35	$428.74	$2,492.32
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $473.97 / $521.01 / $594.48	Professional	50	$473.97	$521.01	$594.48
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $291.70 / $291.70 / $416.81	Professional	54	$291.70	$291.70	$416.81
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.35 / $396.73 / $743.70	Professional		$288.35	$396.73	$743.70