Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,670.00 / $2,377.00	Facility		$960.00	$1,670.00	$2,377.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $259.95 / $259.95 / $259.95	Facility	53	$259.95	$259.95	$259.95
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $974.87 / $974.87 / $974.87	Facility	54	$974.87	$974.87	$974.87
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $194.97 / $194.97 / $194.97	Facility	55	$194.97	$194.97	$194.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $848.18 / $1,299.82	Professional		$572.00	$848.18	$1,299.82
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $95.21 / $142.82 / $194.97	Professional	55	$95.21	$142.82	$194.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $422.08 / $434.21 / $773.88	Professional		$422.08	$434.21	$773.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,486.62 / $5,444.73 / $7,324.90	Facility		$4,486.62	$5,444.73	$7,324.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.78 / $1,158.25 / $1,274.08	Professional		$810.78	$1,158.25	$1,274.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $676.42 / $962.37	Professional		$335.00	$676.42	$962.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,196.00 / $4,106.00 / $7,227.00	Facility		$1,196.00	$4,106.00	$7,227.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $677.13 / $926.60	Professional		$542.66	$677.13	$926.60