Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $5,687.40 / $10,808.00	Facility		$1,750.00	$5,687.40	$10,808.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,871.81 / $3,871.81 / $3,871.81	Facility	50	$3,871.81	$3,871.81	$3,871.81
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $741.36 / $741.36 / $1,093.78	Facility	54	$741.36	$741.36	$1,093.78
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $148.27 / $148.27 / $218.76	Facility	55	$148.27	$148.27	$218.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.67 / $888.76 / $1,458.37	Professional		$690.67	$888.76	$1,458.37
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $606.29 / $617.79 / $1,093.78	Professional	54	$606.29	$617.79	$1,093.78
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $103.60 / $123.56 / $226.28	Professional	55	$103.60	$123.56	$226.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $663.47 / $769.56 / $883.59	Professional		$663.47	$769.56	$883.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,594.10 / $2,499.50 / $3,726.84	Facility		$1,594.10	$2,499.50	$3,726.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.84 / $1,341.00 / $1,341.00	Professional		$1,139.84	$1,341.00	$1,341.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,848.00 / $6,848.00 / $6,848.00	Facility		$6,848.00	$6,848.00	$6,848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.14 / $1,041.13 / $1,453.00	Professional		$718.14	$1,041.13	$1,453.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.15 / $1,521.00 / $26,542.00	Facility		$873.15	$1,521.00	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $765.10 / $1,029.89 / $6,925.00	Professional		$765.10	$1,029.89	$6,925.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,418.00 / $2,902.00 / $5,565.00	Facility		$1,418.00	$2,902.00	$5,565.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.52 / $996.87 / $1,418.63	Professional		$764.52	$996.87	$1,418.63