Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.53 / $4,610.00 / $12,154.00	Facility		$1,123.53	$4,610.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $693.45 / $693.45 / $807.33	Facility	54	$693.45	$693.45	$807.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.73 / $997.66 / $1,614.13	Professional		$711.73	$997.66	$1,614.13
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $100.89 / $149.65 / $206.89	Professional	55	$100.89	$149.65	$206.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $809.20 / $843.12 / $1,154.24	Professional		$809.20	$843.12	$1,154.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $4,486.00 / $9,663.00	Facility		$2,232.00	$4,486.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.07 / $1,092.34 / $1,564.89	Professional		$868.07	$1,092.34	$1,564.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.16 / $6,956.00 / $10,254.00	Facility		$1,344.16	$6,956.00	$10,254.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.71 / $1,156.50 / $2,112.75	Professional		$712.71	$1,156.50	$2,112.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $997.67 / $2,548.73 / $26,542.00	Facility		$997.67	$2,548.73	$26,542.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,628.84 / $4,569.92 / $4,569.92	Facility	54	$1,628.84	$4,569.92	$4,569.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $816.52 / $1,087.55 / $6,715.76	Professional		$816.52	$1,087.55	$6,715.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,829.00	Facility		$1,644.00	$2,874.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.52 / $1,085.60 / $1,812.58	Professional		$816.52	$1,085.60	$1,812.58