Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,590.82 / $10,150.03 / $23,483.17	Facility		$4,590.82	$10,150.03	$23,483.17
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $126.65 / $126.65 / $126.65	Facility	53	$126.65	$126.65	$126.65
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $474.92 / $474.92 / $474.92	Facility	54	$474.92	$474.92	$474.92
Aetna Facility/Professional Facility Modifier 55 Low / Median / High Price $94.98 / $94.98 / $94.98	Facility	55	$94.98	$94.98	$94.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.48 / $633.23 / $1,189.51	Professional		$354.48	$633.23	$1,189.51
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $94.98 / $94.98 / $178.43	Professional	55	$94.98	$94.98	$178.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.84 / $612.84 / $3,027.36	Professional		$612.84	$612.84	$3,027.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,889.38 / $7,684.16 / $14,983.55	Facility		$5,889.38	$7,684.16	$14,983.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.86 / $1,044.66 / $1,392.86	Professional		$612.86	$1,044.66	$1,392.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,639.55 / $5,639.55 / $5,639.55	Facility		$5,639.55	$5,639.55	$5,639.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.38 / $1,562.87 / $2,059.59	Professional		$1,330.38	$1,562.87	$2,059.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.23 / $1,203.14 / $21,325.00	Facility		$633.23	$1,203.14	$21,325.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $4,042.62 / $4,042.62 / $4,042.62	Facility	53	$4,042.62	$4,042.62	$4,042.62
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $14,149.17 / $14,149.17 / $14,149.17	Facility	54	$14,149.17	$14,149.17	$14,149.17
Medica Facility/Professional Facility Modifier 55 Low / Median / High Price $3,031.96 / $3,031.96 / $3,031.96	Facility	55	$3,031.96	$3,031.96	$3,031.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.07 / $1,424.83 / $1,902.60	Professional		$994.07	$1,424.83	$1,902.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,277.14 / $2,098.89 / $7,519.40	Facility		$1,277.14	$2,098.89	$7,519.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,277.14 / $1,617.46 / $2,059.59	Professional		$1,277.14	$1,617.46	$2,059.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,178.00 / $7,221.00 / $8,816.00	Facility		$6,178.00	$7,221.00	$8,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.46 / $1,471.22 / $1,855.59	Professional		$1,110.46	$1,471.22	$1,855.59