Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,728.00 / $2,843.00	Facility		$1,080.00	$1,728.00	$2,843.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,065.28 / $1,065.28 / $1,065.28	Facility	54	$1,065.28	$1,065.28	$1,065.28
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $213.06 / $213.06 / $213.06	Facility	55	$213.06	$213.06	$213.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.10 / $949.85 / $1,491.38	Professional		$698.10	$949.85	$1,491.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $523.58 / $785.36 / $1,251.64	Professional	54	$523.58	$785.36	$1,251.64
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $104.72 / $157.07 / $250.33	Professional	55	$104.72	$157.07	$250.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.37 / $665.71 / $870.33	Professional		$443.37	$665.71	$870.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,295.13 / $2,785.25 / $3,747.05	Facility		$2,295.13	$2,785.25	$3,747.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $1,098.00 / $1,207.80	Professional		$768.60	$1,098.00	$1,207.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.02 / $832.12 / $2,702.12	Professional		$512.02	$832.12	$2,702.12
United Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $2,891.00 / $4,402.00	Facility		$834.00	$2,891.00	$4,402.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.83 / $726.85 / $994.63	Professional		$573.83	$726.85	$994.63