Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.00 / $2,313.00 / $6,649.49	Facility		$784.00	$2,313.00	$6,649.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $109.01 / $109.01 / $262.62	Facility	53	$109.01	$109.01	$262.62
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $408.80 / $408.80 / $984.83	Facility	54	$408.80	$408.80	$984.83
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $81.76 / $81.76 / $196.97	Facility	55	$81.76	$81.76	$196.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.81 / $616.50 / $1,313.11	Professional		$503.81	$616.50	$1,313.11
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $254.64 / $275.37 / $656.56	Professional	52	$254.64	$275.37	$656.56
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $358.66 / $408.80 / $984.83	Professional	54	$358.66	$408.80	$984.83
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $76.39 / $82.61 / $196.97	Professional	55	$76.39	$82.61	$196.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $485.95 / $787.24 / $1,055.20	Professional		$485.95	$787.24	$1,055.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,382.37 / $1,382.37 / $1,520.60	Facility		$1,382.37	$1,382.37	$1,520.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,417.00 / $1,417.00 / $1,417.00	Professional		$1,417.00	$1,417.00	$1,417.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.23 / $1,388.79 / $3,047.67	Facility		$1,256.23	$1,388.79	$3,047.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.93 / $830.63 / $1,459.51	Professional		$505.93	$830.63	$1,459.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $2,361.00 / $6,612.00	Facility		$717.00	$2,361.00	$6,612.00
United Facility/Professional Professional Modifier Low / Median / High Price $509.08 / $696.98 / $1,392.66	Professional		$509.08	$696.98	$1,392.66