Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.47 / $2,652.00 / $6,790.05	Facility		$455.47	$2,652.00	$6,790.05
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.87 / $94.87 / $207.04	Facility	52	$94.87	$94.87	$207.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.95 / $37.95 / $82.81	Facility	53	$37.95	$37.95	$82.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $241.64 / $471.08	Professional		$179.38	$241.64	$471.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $192.83 / $321.99	Professional		$82.63	$192.83	$321.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,971.35 / $4,647.35 / $7,250.81	Facility		$2,971.35	$4,647.35	$7,250.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $369.25 / $507.03	Professional		$173.85	$369.25	$507.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.85 / $293.55 / $543.32	Professional		$203.85	$293.55	$543.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.73 / $369.56 / $2,072.00	Facility		$189.73	$369.56	$2,072.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $633.38 / $633.38 / $633.38	Facility	52	$633.38	$633.38	$633.38
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $158.34 / $158.34 / $158.34	Facility	53	$158.34	$158.34	$158.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.88 / $430.80 / $2,839.20	Professional		$228.88	$430.80	$2,839.20
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 $217.35 / $370.03 / $607.00	Professional		$217.35	$370.03	$607.00