Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.11 / $2,426.85 / $6,245.00	Facility		$407.11	$2,426.85	$6,245.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.97 / $203.56 / $458.00	Facility	52	$73.97	$203.56	$458.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.59 / $29.59 / $81.42	Facility	53	$29.59	$29.59	$81.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $292.26 / $439.93	Professional		$145.69	$292.26	$439.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $132.63 / $204.53	Professional		$74.26	$132.63	$204.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,104.23 / $1,497.40 / $2,169.03	Facility		$1,104.23	$1,497.40	$2,169.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $363.30 / $498.86	Professional		$133.00	$363.30	$498.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $262.95 / $527.32	Professional		$159.19	$262.95	$527.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $407.11 / $1,760.00	Facility		$147.94	$407.11	$1,760.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $496.53 / $496.53 / $496.53	Facility	52	$496.53	$496.53	$496.53
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $124.13 / $124.13 / $124.13	Facility	53	$124.13	$124.13	$124.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.72 / $441.17 / $2,784.32	Professional		$287.72	$441.17	$2,784.32
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $306.89 / $402.81 / $610.42	Professional		$306.89	$402.81	$610.42