Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $4,714.00 / $14,100.00	Facility		$1,392.00	$4,714.00	$14,100.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $606.29 / $606.29 / $606.29	Facility	54	$606.29	$606.29	$606.29
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $121.26 / $121.26 / $121.26	Facility	55	$121.26	$121.26	$121.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.13 / $808.39 / $1,007.06	Professional		$744.13	$808.39	$1,007.06
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $601.07 / $601.07 / $680.50	Professional	54	$601.07	$601.07	$680.50
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $120.21 / $120.21 / $136.10	Professional	55	$120.21	$120.21	$136.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $586.95 / $637.26 / $838.50	Professional		$586.95	$637.26	$838.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,783.07 / $5,983.53 / $9,451.06	Facility		$3,783.07	$5,983.53	$9,451.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.85 / $880.21 / $966.49	Professional		$703.85	$880.21	$966.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.68 / $1,266.68 / $1,266.68	Facility		$1,266.68	$1,266.68	$1,266.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.35 / $971.40 / $1,460.36	Professional		$683.35	$971.40	$1,460.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.43 / $1,822.00 / $6,887.55	Facility		$801.43	$1,822.00	$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 $650.34 / $877.80 / $5,471.10	Professional		$650.34	$877.80	$5,471.10
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $794.13 / $794.13 / $794.13	Professional	54	$794.13	$794.13	$794.13
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $635.03 / $803.36 / $1,081.91	Professional		$635.03	$803.36	$1,081.91