Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $2,163.51 / $7,655.00	Facility		$487.00	$2,163.51	$7,655.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $64.95 / $89.66 / $257.58	Facility	52	$64.95	$89.66	$257.58
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.98 / $35.86 / $103.03	Facility	53	$25.98	$35.86	$103.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $189.10 / $629.00	Professional		$107.26	$189.10	$629.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.62 / $113.26 / $113.26	Professional		$89.62	$113.26	$113.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $596.00 / $819.41 / $1,322.26	Facility		$596.00	$819.41	$1,322.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $180.78 / $527.38	Professional		$180.78	$180.78	$527.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.06 / $314.08 / $859.00	Professional		$131.06	$314.08	$859.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $348.65 / $1,576.00	Facility		$102.55	$348.65	$1,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $343.89 / $853.61 / $2,804.09	Professional		$343.89	$853.61	$2,804.09
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,793.00	Facility		$525.00	$1,353.00	$2,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.81 / $483.49 / $924.74	Professional		$309.81	$483.49	$924.74