Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.59 / $2,654.14 / $6,435.00	Facility		$949.59	$2,654.14	$6,435.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $782.76 / $3,881.15 / $3,881.15	Facility	50	$782.76	$3,881.15	$3,881.15
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $251.29 / $251.29 / $270.12	Facility	54	$251.29	$251.29	$270.12
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $50.26 / $50.26 / $54.02	Facility	55	$50.26	$50.26	$54.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $335.05 / $360.16	Professional		$313.30	$335.05	$360.16
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $249.13 / $260.11 / $270.12	Professional	54	$249.13	$260.11	$270.12
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $49.83 / $52.65 / $54.02	Professional	55	$49.83	$52.65	$54.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $275.70 / $296.45	Professional		$258.29	$275.70	$296.45
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $413.57 / $413.57 / $520.74	Professional	50	$413.57	$413.57	$520.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.32 / $1,336.76 / $2,100.62	Facility		$842.32	$1,336.76	$2,100.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $391.74 / $430.14	Professional		$313.25	$391.74	$430.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.22 / $307.22 / $1,239.00	Facility		$307.22	$307.22	$1,239.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.32 / $367.62 / $464.71	Professional		$227.32	$367.62	$464.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.95 / $458.07 / $3,390.00	Facility		$298.95	$458.07	$3,390.00
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 $271.39 / $325.48 / $2,322.88	Professional		$271.39	$325.48	$2,322.88
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $335.94 / $335.94 / $335.94	Professional	50	$335.94	$335.94	$335.94
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.62 / $322.89 / $424.05	Professional		$265.62	$322.89	$424.05