Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,223.55 / $12,600.00	Facility		$1,000.00	$5,223.55	$12,600.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $82.48 / $82.48 / $246.40	Facility	53	$82.48	$82.48	$246.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.37 / $622.66 / $1,456.10	Professional		$412.37	$622.66	$1,456.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.64 / $355.99 / $422.37	Professional		$203.64	$355.99	$422.37
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 $402.68 / $1,004.50 / $1,379.32	Professional		$402.68	$1,004.50	$1,379.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $553.52 / $1,379.46	Professional		$349.96	$553.52	$1,379.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.00 / $1,571.00 / $6,636.04	Facility		$433.00	$1,571.00	$6,636.04
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $297.92 / $297.92 / $297.92	Facility	53	$297.92	$297.92	$297.92
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $148.96 / $148.96	Facility	AS	$148.96	$148.96	$148.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $1,485.68 / $7,664.36	Professional		$939.00	$1,485.68	$7,664.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,415.00 / $4,853.00 / $8,116.00	Facility		$1,415.00	$4,853.00	$8,116.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.76 / $1,250.46 / $1,770.83	Professional		$883.76	$1,250.46	$1,770.83