Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.54 / $2,454.00 / $7,655.00	Facility		$654.54	$2,454.00	$7,655.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.21 / $128.10 / $907.90	Facility	52	$95.21	$128.10	$907.90
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $38.09 / $51.24 / $363.16	Facility	53	$38.09	$51.24	$363.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.58 / $247.65 / $1,770.03	Professional		$154.58	$247.65	$1,770.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $131.69 / $254.26	Professional		$63.64	$131.69	$254.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $1,447.78 / $1,644.84	Facility		$1,039.78	$1,447.78	$1,644.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $316.00 / $1,381.39	Professional		$316.00	$316.00	$1,381.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,098.00 / $2,437.00	Facility		$800.00	$1,098.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $353.93 / $1,935.61	Professional		$172.80	$353.93	$1,935.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.69 / $336.91 / $2,222.44	Facility		$158.69	$336.91	$2,222.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $1,555.70 / $7,882.64	Professional		$198.16	$1,555.70	$7,882.64
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 $186.88 / $1,232.64 / $1,919.75	Professional		$186.88	$1,232.64	$1,919.75