Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $2,876.00 / $7,500.00	Facility		$750.00	$2,876.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $52.45 / $237.30 / $1,096.76	Facility	52	$52.45	$237.30	$1,096.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.98 / $20.98 / $94.92	Facility	53	$20.98	$20.98	$94.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $449.07 / $474.60	Professional		$104.90	$449.07	$474.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $87.74 / $87.74	Professional		$87.74	$87.74	$87.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,517.36 / $2,366.61 / $3,711.90	Facility		$1,517.36	$2,366.61	$3,711.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $381.50 / $523.85	Professional		$87.73	$381.50	$523.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $134.44 / $509.10	Professional		$88.70	$134.44	$509.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $522.05 / $4,132.00	Facility		$104.90	$522.05	$4,132.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $297.91 / $297.91 / $297.91	Facility	52	$297.91	$297.91	$297.91
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	53	$74.48	$74.48	$74.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.10 / $515.19 / $2,780.16	Professional		$349.10	$515.19	$2,780.16
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,928.00 / $3,790.62	Facility		$498.00	$1,928.00	$3,790.62
United Facility/Professional Professional Modifier Low / Median / High Price $328.56 / $451.77 / $658.82	Professional		$328.56	$451.77	$658.82