Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,995.26 / $6,606.93	Facility		$524.81	$1,995.26	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $776.25 / $3,890.45 / $3,890.45	Facility	50	$776.25	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $537.03	Professional		$288.40	$338.84	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $457.09 / $707.95 / $724.44	Professional	50	$457.09	$707.95	$724.44
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $239.88 / $354.81 / $549.54	Professional	54	$239.88	$354.81	$549.54
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $9.33 / $72.44 / $79.43	Professional	55	$9.33	$72.44	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $338.84	Professional		$218.78	$281.84	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,995.26	Facility		$794.33	$1,258.93	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $426.58	Professional		$302.00	$389.05	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,230.27	Facility		$309.03	$309.03	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $467.74	Professional		$245.47	$380.19	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $467.74 / $3,388.44	Facility		$295.12	$467.74	$3,388.44
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	54	$977.24	$977.24	$977.24
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $208.93 / $208.93 / $208.93	Facility	55	$208.93	$208.93	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $2,511.89	Professional		$275.42	$338.84	$2,511.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,288.25 / $2,630.27	Facility		$354.81	$1,288.25	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $407.38	Professional		$257.04	$316.23	$407.38