Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $5,538.46 / $9,257.51	Facility		$1,392.00	$5,538.46	$9,257.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.91 / $117.91 / $117.91	Facility	53	$117.91	$117.91	$117.91
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $442.16 / $442.16 / $442.16	Facility	54	$442.16	$442.16	$442.16
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $88.43 / $88.43 / $88.43	Facility	55	$88.43	$88.43	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.29 / $589.54 / $734.91	Professional		$543.29	$589.54	$734.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $292.24 / $292.24 / $364.26	Professional	52	$292.24	$292.24	$364.26
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $438.35 / $438.35 / $546.39	Professional	54	$438.35	$438.35	$546.39
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $87.67 / $88.43 / $122.79	Professional	55	$87.67	$88.43	$122.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.88 / $489.41 / $611.76	Professional		$97.88	$489.41	$611.76
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 $513.10 / $641.66 / $704.56	Professional		$513.10	$641.66	$704.56
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 $498.11 / $707.29 / $1,222.00	Professional		$498.11	$707.29	$1,222.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $1,824.00 / $6,887.55	Facility		$589.54	$1,824.00	$6,887.55
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,305.69 / $1,305.69 / $1,305.69	Facility	53	$1,305.69	$1,305.69	$1,305.69
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 $473.94 / $641.16 / $5,498.88	Professional		$473.94	$641.16	$5,498.88
Medica Facility/Professional Professional Modifier 54 Low / Median / High Price $423.31 / $458.58 / $616.69	Professional	54	$423.31	$458.58	$616.69
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $3,680.00 / $5,847.50	Facility		$886.00	$3,680.00	$5,847.50
United Facility/Professional Professional Modifier Low / Median / High Price $462.79 / $624.72 / $789.77	Professional		$462.79	$624.72	$789.77