Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.00 / $4,239.64 / $9,304.00	Facility		$1,320.00	$4,239.64	$9,304.00
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 $572.51 / $572.51 / $666.57	Facility	54	$572.51	$572.51	$666.57
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $114.50 / $114.50 / $133.31	Facility	55	$114.50	$114.50	$133.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.46 / $894.20 / $1,870.00	Professional		$689.46	$894.20	$1,870.00
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $416.09 / $617.79 / $841.92	Professional	54	$416.09	$617.79	$841.92
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $83.22 / $123.56 / $170.84	Professional	55	$83.22	$123.56	$170.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $697.22 / $883.59 / $1,236.45	Professional		$697.22	$883.59	$1,236.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $4,486.00 / $9,663.00	Facility		$2,232.00	$4,486.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.71 / $1,103.49 / $1,556.63	Professional		$830.71	$1,103.49	$1,556.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.16 / $6,956.00 / $10,254.00	Facility		$1,344.16	$6,956.00	$10,254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.82 / $1,091.90 / $1,886.56	Professional		$586.82	$1,091.90	$1,886.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.73 / $2,291.00 / $26,542.00	Facility		$823.73	$2,291.00	$26,542.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,346.41 / $4,569.92 / $4,569.92	Facility	54	$1,346.41	$4,569.92	$4,569.92
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $288.52 / $979.27 / $979.27	Facility	55	$288.52	$979.27	$979.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $752.54 / $1,058.50 / $6,925.00	Professional		$752.54	$1,058.50	$6,925.00
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $712.99 / $712.99 / $716.13	Professional	54	$712.99	$712.99	$716.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,829.00	Facility		$1,644.00	$2,874.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $971.68 / $1,481.61	Professional		$726.85	$971.68	$1,481.61