Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.75 / $5,375.00 / $10,804.93	Facility		$1,064.75	$5,375.00	$10,804.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $144.35 / $144.35 / $212.95	Facility	53	$144.35	$144.35	$212.95
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.30 / $541.30 / $798.56	Facility	54	$541.30	$541.30	$798.56
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $108.26 / $108.26 / $159.71	Facility	55	$108.26	$108.26	$159.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $621.09 / $1,064.75	Professional		$314.97	$621.09	$1,064.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $294.77 / $300.73 / $532.38	Professional	52	$294.77	$300.73	$532.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $389.61 / $451.10 / $798.56	Professional	54	$389.61	$451.10	$798.56
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $75.66 / $90.22 / $159.71	Professional	55	$75.66	$90.22	$159.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.92 / $488.54 / $932.99	Professional		$314.92	$488.54	$932.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.50 / $2,570.50 / $5,288.51	Facility		$2,009.50	$2,570.50	$5,288.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.42 / $1,128.73 / $1,128.73	Professional		$959.42	$1,128.73	$1,128.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,848.00 / $6,848.00 / $6,848.00	Facility		$6,848.00	$6,848.00	$6,848.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.40 / $807.65 / $1,222.00	Professional		$547.40	$807.65	$1,222.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.54 / $1,342.00 / $26,542.00	Facility		$637.54	$1,342.00	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.58 / $743.40 / $6,076.05	Professional		$557.58	$743.40	$6,076.05
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $589.72 / $589.72 / $589.72	Professional	54	$589.72	$589.72	$589.72
United Facility/Professional Facility Modifier Low / Median / High Price $955.00 / $2,902.00 / $5,562.00	Facility		$955.00	$2,902.00	$5,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.96 / $718.08 / $1,056.58	Professional		$556.96	$718.08	$1,056.58