Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $4,521.00 / $8,104.00	Facility		$1,671.00	$4,521.00	$8,104.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.39 / $920.63 / $3,588.90	Professional		$750.39	$920.63	$3,588.90
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $567.92 / $706.53 / $2,967.35	Professional	54	$567.92	$706.53	$2,967.35
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $112.10 / $132.77 / $593.47	Professional	55	$112.10	$132.77	$593.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $466.96 / $631.67 / $842.24	Professional		$466.96	$631.67	$842.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.90 / $4,652.80 / $7,610.24	Facility		$1,235.90	$4,652.80	$7,610.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $672.14 / $792.27	Professional		$562.91	$672.14	$792.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $995.00 / $1,422.00	Facility		$995.00	$995.00	$1,422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.40 / $903.67 / $1,707.48	Professional		$695.40	$903.67	$1,707.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $2,266.94 / $5,107.00	Facility		$772.06	$2,266.94	$5,107.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,346.41 / $1,346.41 / $4,569.92	Facility	54	$1,346.41	$1,346.41	$4,569.92
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $288.52 / $288.52 / $979.27	Facility	55	$288.52	$288.52	$979.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $699.60 / $938.63 / $6,925.00	Professional		$699.60	$938.63	$6,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $3,339.00 / $5,838.00	Facility		$2,286.00	$3,339.00	$5,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $699.60 / $861.77 / $1,483.21	Professional		$699.60	$861.77	$1,483.21