Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.45 / $936.00 / $1,831.00	Facility		$331.45	$936.00	$1,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $231.52 / $248.59 / $574.01	Facility	54	$231.52	$248.59	$574.01
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $46.30 / $49.72 / $114.80	Facility	55	$46.30	$49.72	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $308.69 / $765.35	Professional		$267.56	$308.69	$765.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $450.78 / $502.89	Professional	50	$300.00	$450.78	$502.89
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $214.00 / $234.18 / $574.01	Professional	54	$214.00	$234.18	$574.01
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $42.81 / $46.84 / $119.78	Professional	55	$42.81	$46.84	$119.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.10 / $267.10 / $447.86	Professional		$267.10	$267.10	$447.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $671.79 / $671.79 / $671.79	Professional	50	$671.79	$671.79	$671.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $332.98 / $332.98 / $332.98	Facility		$332.98	$332.98	$332.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $657.00 / $657.00	Professional		$657.00	$657.00	$657.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.69 / $336.84 / $771.45	Facility		$304.69	$336.84	$771.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.44 / $411.65 / $676.71	Professional		$288.44	$411.65	$676.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $455.00 / $825.00 / $1,957.00	Facility		$455.00	$825.00	$1,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $363.64 / $665.91	Professional		$278.13	$363.64	$665.91