Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.95 / $1,990.00 / $7,812.85	Facility		$744.95	$1,990.00	$7,812.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $148.99 / $148.99 / $223.49	Facility	53	$148.99	$148.99	$223.49
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $558.71 / $558.71 / $838.07	Facility	54	$558.71	$558.71	$838.07
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $111.74 / $111.74 / $167.61	Facility	55	$111.74	$111.74	$167.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.04 / $634.74 / $952.11	Professional		$528.04	$634.74	$952.11
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $79.20 / $111.74 / $142.82	Professional	55	$79.20	$111.74	$142.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $760.08 / $760.08 / $760.08	Professional		$760.08	$760.08	$760.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,781.81 / $4,781.81 / $5,738.17	Facility		$4,781.81	$4,781.81	$5,738.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.97 / $946.29 / $1,051.43	Professional		$714.97	$946.29	$1,051.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $923.41 / $1,236.79	Professional		$300.00	$923.41	$1,236.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $874.09 / $874.09 / $874.09	Professional		$874.09	$874.09	$874.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $3,356.00 / $6,957.00	Facility		$1,565.00	$3,356.00	$6,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.65 / $766.76 / $1,286.97	Professional		$598.65	$766.76	$1,286.97