Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,932.37 / $8,477.27 / $21,899.37	Facility		$3,932.37	$8,477.27	$21,899.37
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $518.00 / $518.00 / $518.00	Facility	54	$518.00	$518.00	$518.00
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $103.60 / $103.60 / $103.60	Facility	55	$103.60	$103.60	$103.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.67 / $1,147.16 / $1,764.79	Professional		$690.67	$1,147.16	$1,764.79
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $518.00 / $860.37 / $1,363.34	Professional	54	$518.00	$860.37	$1,363.34
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $103.60 / $172.07 / $593.47	Professional	55	$103.60	$172.07	$593.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $466.96 / $922.60 / $1,845.20	Professional		$466.96	$922.60	$1,845.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,007.90 / $3,924.55 / $7,652.58	Facility		$3,007.90	$3,924.55	$7,652.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.13 / $1,138.85 / $1,518.49	Professional		$668.13	$1,138.85	$1,518.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,821.47 / $1,821.47 / $1,821.47	Facility		$1,821.47	$1,821.47	$1,821.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,450.35 / $1,700.00 / $2,248.35	Professional		$1,450.35	$1,700.00	$2,248.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.31 / $1,725.92 / $6,887.55	Facility		$695.31	$1,725.92	$6,887.55
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $979.27 / $979.27 / $979.27	Facility	55	$979.27	$979.27	$979.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,067.70 / $1,580.20 / $2,205.96	Professional		$1,067.70	$1,580.20	$2,205.96
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $1,501.54 / $1,501.54 / $1,501.54	Professional	54	$1,501.54	$1,501.54	$1,501.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.31 / $1,953.11 / $2,428.62	Facility		$1,392.31	$1,953.11	$2,428.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,223.70 / $1,643.68 / $2,200.39	Professional		$1,223.70	$1,643.68	$2,200.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,217.00 / $6,451.00 / $7,934.00	Facility		$4,217.00	$6,451.00	$7,934.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.84 / $1,658.78 / $1,993.04	Professional		$1,266.84	$1,658.78	$1,993.04