Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.91 / $2,536.00 / $7,500.00	Facility		$366.91	$2,536.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.75 / $46.75 / $140.49	Facility	52	$46.75	$46.75	$140.49
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.70 / $18.70 / $56.19	Facility	53	$18.70	$18.70	$56.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $183.39 / $284.87	Professional		$89.57	$183.39	$284.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.98 / $1,497.40 / $2,169.03	Facility		$1,114.98	$1,497.40	$2,169.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $247.10 / $339.30	Professional		$83.65	$247.10	$339.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $164.20 / $349.28	Professional		$100.09	$164.20	$349.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $274.56 / $1,760.00	Facility		$93.50	$274.56	$1,760.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $342.02 / $342.02	Facility	52	$342.02	$342.02	$342.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	53	$85.51	$85.51	$85.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.95 / $298.39 / $1,943.60	Professional		$208.95	$298.39	$1,943.60
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.93 / $261.08 / $398.60	Professional		$198.93	$261.08	$398.60