Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.57 / $1,675.60 / $4,610.00	Facility		$359.57	$1,675.60	$4,610.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.97 / $242.25 / $1,749.50	Facility	52	$75.97	$242.25	$1,749.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.39 / $71.91 / $2,029.57	Facility	53	$30.39	$71.91	$2,029.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $204.55 / $461.06	Professional		$111.58	$204.55	$461.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $126.64 / $191.12	Professional		$63.32	$126.64	$191.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.05 / $1,030.65 / $1,739.93	Facility		$723.05	$1,030.65	$1,739.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.25 / $287.25 / $483.90	Professional		$287.25	$287.25	$483.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.00 / $621.00 / $2,437.00	Facility		$524.00	$621.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $292.13 / $504.78	Professional		$141.44	$292.13	$504.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $319.95 / $1,169.00	Facility		$130.19	$319.95	$1,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $297.97 / $450.44 / $2,132.08	Professional		$297.97	$450.44	$2,132.08
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,786.00 / $3,918.00	Facility		$816.00	$1,786.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.50 / $332.61 / $518.71	Professional		$279.50	$332.61	$518.71