Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $3,666.78 / $12,765.09	Facility		$310.61	$3,666.78	$12,765.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $733.78 / $794.21 / $879.69	Facility	50	$733.78	$794.21	$879.69
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $216.72 / $232.96 / $682.48	Facility	54	$216.72	$232.96	$682.48
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $43.34 / $43.34 / $46.59	Facility	55	$43.34	$43.34	$46.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $484.90 / $1,504.00	Professional		$288.95	$484.90	$1,504.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $333.96 / $463.47 / $2,346.00	Professional	50	$333.96	$463.47	$2,346.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $216.72 / $288.66 / $1,241.96	Professional	54	$216.72	$288.66	$1,241.96
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $43.34 / $72.73 / $248.39	Professional	55	$43.34	$72.73	$248.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.29 / $403.26 / $626.76	Professional		$241.29	$403.26	$626.76
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $584.42 / $864.12 / $940.14	Professional	50	$584.42	$864.12	$940.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.05 / $1,501.83 / $2,928.46	Facility		$1,151.05	$1,501.83	$2,928.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $494.36 / $661.92	Professional		$291.25	$494.36	$661.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $441.78 / $441.78 / $441.78	Facility		$441.78	$441.78	$441.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.79 / $746.22 / $962.19	Professional		$647.79	$746.22	$962.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $549.02 / $1,826.65	Facility		$310.61	$549.02	$1,826.65
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,869.30 / $1,869.30 / $1,869.30	Facility	50	$1,869.30	$1,869.30	$1,869.30
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 $470.51 / $674.39 / $900.21	Professional		$470.51	$674.39	$900.21
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $497.20 / $895.10 / $1,144.38	Professional	50	$497.20	$895.10	$1,144.38
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $489.96 / $540.94 / $629.20	Professional	54	$489.96	$540.94	$629.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.18 / $672.48 / $942.72	Facility		$474.18	$672.48	$942.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $719.48 / $941.02	Professional		$489.00	$719.48	$941.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,775.00 / $3,227.00 / $6,169.00	Facility		$1,775.00	$3,227.00	$6,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.05 / $705.76 / $878.28	Professional		$499.05	$705.76	$878.28