Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.97 / $2,283.00 / $5,946.00	Facility		$350.97	$2,283.00	$5,946.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $65.64 / $65.64 / $159.54	Facility	52	$65.64	$65.64	$159.54
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.25 / $26.25 / $63.81	Facility	53	$26.25	$26.25	$63.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $219.62 / $327.48	Professional		$129.69	$219.62	$327.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.01 / $115.19 / $151.04	Professional		$66.01	$115.19	$151.04
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 $117.95 / $283.14 / $388.81	Professional		$117.95	$283.14	$388.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $222.83 / $425.36	Professional		$141.08	$222.83	$425.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.27 / $319.07 / $1,928.00	Facility		$131.27	$319.07	$1,928.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $442.02 / $442.02 / $442.02	Facility	52	$442.02	$442.02	$442.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $110.50 / $110.50 / $110.50	Facility	53	$110.50	$110.50	$110.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $374.28 / $2,132.08	Professional		$244.80	$374.28	$2,132.08
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 $239.04 / $316.80 / $461.66	Professional		$239.04	$316.80	$461.66