Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.97 / $2,438.00 / $7,500.00	Facility		$263.97	$2,438.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.74 / $52.74 / $131.99	Facility	52	$52.74	$52.74	$131.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.09 / $21.09 / $52.79	Facility	53	$21.09	$21.09	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $177.69 / $272.14	Professional		$105.46	$177.69	$272.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $92.86 / $104.46	Professional		$92.86	$92.86	$104.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,537.74 / $7,077.50 / $11,100.67	Facility		$4,537.74	$7,077.50	$11,100.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $215.00 / $286.92	Professional		$102.86	$215.00	$286.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $186.66 / $295.64	Professional		$89.76	$186.66	$295.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.74 / $347.46 / $3,485.72	Facility		$110.74	$347.46	$3,485.72
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $301.54 / $301.54 / $301.54	Facility	52	$301.54	$301.54	$301.54
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $75.39 / $75.39 / $75.39	Facility	53	$75.39	$75.39	$75.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $318.24 / $1,989.58	Professional		$187.82	$318.24	$1,989.58
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,279.00 / $2,637.00	Facility		$375.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.59 / $255.00 / $358.01	Professional		$184.59	$255.00	$358.01