Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.90 / $2,014.00 / $5,264.53	Facility		$513.90	$2,014.00	$5,264.53
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.70 / $115.48 / $316.86	Facility	52	$85.70	$115.48	$316.86
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $34.28 / $46.19 / $126.74	Facility	53	$34.28	$46.19	$126.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.45 / $230.96 / $582.66	Professional		$115.45	$230.96	$582.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $118.47 / $214.76	Professional		$59.22	$118.47	$214.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.59 / $1,150.54 / $1,739.93	Facility		$741.59	$1,150.54	$1,739.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $330.00 / $585.08	Professional		$330.00	$330.00	$585.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $800.00 / $2,437.00	Facility		$590.00	$800.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $352.55 / $648.94	Professional		$159.19	$352.55	$648.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.26 / $395.50 / $1,745.40	Facility		$147.26	$395.50	$1,745.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.70 / $535.95 / $2,784.32	Professional		$368.70	$535.95	$2,784.32
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,081.00 / $3,918.00	Facility		$816.00	$2,081.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $437.52 / $654.14	Professional		$329.00	$437.52	$654.14