Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $5,691.00 / $9,304.00	Facility		$1,760.00	$5,691.00	$9,304.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $139.87 / $139.87 / $162.83	Facility	53	$139.87	$139.87	$162.83
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $524.51 / $524.51 / $610.61	Facility	54	$524.51	$524.51	$610.61
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $104.90 / $104.90 / $122.12	Facility	55	$104.90	$104.90	$122.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.53 / $754.58 / $1,244.48	Professional		$570.53	$754.58	$1,244.48
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $75.70 / $113.19 / $123.03	Professional	55	$75.70	$113.19	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $640.41 / $957.41	Professional		$608.79	$640.41	$957.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.66 / $727.07 / $1,215.28	Professional		$594.66	$727.07	$1,215.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $591.00 / $4,161.72	Facility		$591.00	$591.00	$4,161.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.24 / $880.99 / $1,893.11	Professional		$535.24	$880.99	$1,893.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,120.37 / $13,771.73	Facility		$55.00	$2,120.37	$13,771.73
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $353.55 / $4,042.62 / $4,042.62	Facility	53	$353.55	$4,042.62	$4,042.62
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,237.43 / $14,149.17 / $14,149.17	Facility	54	$1,237.43	$14,149.17	$14,149.17
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $265.16 / $3,031.96 / $3,031.96	Facility	55	$265.16	$3,031.96	$3,031.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $656.63 / $884.34 / $2,931.73	Professional		$656.63	$884.34	$2,931.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,469.00 / $3,892.00 / $6,980.00	Facility		$2,469.00	$3,892.00	$6,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.82 / $837.32 / $1,497.05	Professional		$627.82	$837.32	$1,497.05