Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.10 / $1,320.00 / $2,825.00	Facility		$698.10	$1,320.00	$2,825.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.76 / $560.76 / $1,350.93	Facility	54	$560.76	$560.76	$1,350.93
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $112.15 / $112.15 / $270.19	Facility	55	$112.15	$112.15	$270.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.35 / $747.68 / $1,801.24	Professional		$675.35	$747.68	$1,801.24
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $513.20 / $542.50 / $1,350.93	Professional	54	$513.20	$542.50	$1,350.93
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $102.64 / $112.15 / $270.19	Professional	55	$102.64	$112.15	$270.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,078.45 / $1,078.45 / $1,078.45	Professional		$1,078.45	$1,078.45	$1,078.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,382.37 / $1,382.37 / $1,520.60	Facility		$1,382.37	$1,382.37	$1,520.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,855.00 / $1,855.00 / $1,855.00	Professional		$1,855.00	$1,855.00	$1,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.23 / $1,388.79 / $3,047.67	Facility		$1,256.23	$1,388.79	$3,047.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.19 / $1,146.90 / $1,910.65	Professional		$693.19	$1,146.90	$1,910.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,062.00 / $6,150.00	Facility		$700.00	$2,062.00	$6,150.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.59 / $895.17 / $1,934.80	Professional		$688.59	$895.17	$1,934.80