Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.90 / $1,894.48 / $6,090.03	Facility		$1,035.90	$1,894.48	$6,090.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,000.40 / $2,000.40 / $2,000.40	Facility	50	$2,000.40	$2,000.40	$2,000.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $207.18 / $207.18 / $207.18	Facility	53	$207.18	$207.18	$207.18
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $776.93 / $776.93 / $776.93	Facility	54	$776.93	$776.93	$776.93
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $155.38 / $155.38 / $155.38	Facility	55	$155.38	$155.38	$155.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.31 / $724.47 / $1,258.59	Professional		$479.31	$724.47	$1,258.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $254.64 / $381.95 / $629.29	Professional	52	$254.64	$381.95	$629.29
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $381.95 / $572.92 / $943.95	Professional	54	$381.95	$572.92	$943.95
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $76.39 / $114.59 / $188.79	Professional	55	$76.39	$114.59	$188.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $335.52 / $479.31 / $615.00	Professional		$335.52	$479.31	$615.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,295.13 / $2,785.25 / $3,747.05	Facility		$2,295.13	$2,785.25	$3,747.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.97 / $987.10 / $1,085.81	Professional		$690.97	$987.10	$1,085.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $671.11 / $2,168.46	Professional		$373.67	$671.11	$2,168.46
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $3,081.00 / $4,949.00	Facility		$842.00	$3,081.00	$4,949.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.38 / $529.70 / $772.68	Professional		$431.38	$529.70	$772.68