Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.08 / $3,500.00 / $18,600.00	Facility		$361.08	$3,500.00	$18,600.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $63.57 / $71.22 / $180.54	Facility	52	$63.57	$71.22	$180.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $25.43 / $28.49 / $72.22	Facility	53	$25.43	$28.49	$72.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $162.47 / $361.07	Professional		$77.77	$162.47	$361.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $87.04 / $131.36	Professional		$70.39	$87.04	$131.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.90 / $2,266.44 / $2,775.26	Facility		$894.90	$2,266.44	$2,775.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $334.53	Professional		$160.00	$160.00	$334.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $225.78 / $475.00	Professional		$100.22	$225.78	$475.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.59 / $403.03 / $6,207.00	Facility		$145.59	$403.03	$6,207.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.73 / $356.44 / $1,989.58	Professional		$221.73	$356.44	$1,989.58
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $4,219.00	Facility		$525.00	$1,353.00	$4,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $326.20 / $449.34	Professional		$219.42	$326.20	$449.34