Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.39 / $2,775.00 / $8,798.56	Facility		$479.39	$2,775.00	$8,798.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $109.61 / $147.41 / $322.79	Facility	52	$109.61	$147.41	$322.79
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $43.84 / $58.96 / $129.12	Facility	53	$43.84	$58.96	$129.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $294.82 / $645.58	Professional		$179.50	$294.82	$645.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $181.69 / $274.20	Professional		$143.77	$181.69	$274.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.35 / $1,243.51 / $1,447.78	Facility		$620.35	$1,243.51	$1,447.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.42 / $366.42 / $796.57	Professional		$366.42	$366.42	$796.57
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 $198.86 / $363.50 / $679.26	Professional		$198.86	$363.50	$679.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.68 / $355.42 / $1,483.00	Facility		$182.68	$355.42	$1,483.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $534.61 / $2,839.20	Professional		$228.88	$534.61	$2,839.20
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 $216.65 / $426.35 / $734.45	Professional		$216.65	$426.35	$734.45