Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.50 / $4,474.00 / $7,960.15	Facility		$1,548.50	$4,474.00	$7,960.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.50 / $664.78 / $2,753.15	Professional		$479.50	$664.78	$2,753.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $4,329.68 / $4,329.68 / $4,329.68	Professional	50	$4,329.68	$4,329.68	$4,329.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $272.70 / $323.39 / $1,443.23	Professional	52	$272.70	$323.39	$1,443.23
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $378.29 / $485.09 / $2,164.85	Professional	54	$378.29	$485.09	$2,164.85
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $75.66 / $96.24 / $432.97	Professional	55	$75.66	$96.24	$432.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.09 / $435.63 / $615.00	Professional		$341.09	$435.63	$615.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,235.90 / $4,623.72 / $7,610.24	Facility		$1,235.90	$4,623.72	$7,610.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.11 / $490.87 / $578.16	Professional		$411.11	$490.87	$578.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $995.00 / $1,422.00	Facility		$995.00	$995.00	$1,422.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $652.65 / $1,373.95	Professional		$507.85	$652.65	$1,373.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.75 / $2,052.00 / $5,034.00	Facility		$563.75	$2,052.00	$5,034.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $281.10 / $281.10 / $1,305.69	Facility	53	$281.10	$281.10	$1,305.69
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $983.84 / $983.84 / $4,569.92	Facility	54	$983.84	$983.84	$4,569.92
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $210.82 / $210.82 / $979.27	Facility	55	$210.82	$210.82	$979.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $679.80 / $6,076.05	Professional		$521.14	$679.80	$6,076.05
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $552.78 / $552.78 / $552.78	Professional	54	$552.78	$552.78	$552.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,365.00 / $5,307.00	Facility		$2,066.00	$3,365.00	$5,307.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $637.55 / $1,062.59	Professional		$521.14	$637.55	$1,062.59