Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $1,897.00 / $7,655.00	Facility		$172.40	$1,897.00	$7,655.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.90 / $46.81 / $155.80	Facility	52	$34.90	$46.81	$155.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.96 / $18.72 / $62.32	Facility	53	$13.96	$18.72	$62.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $110.25 / $311.58	Professional		$56.86	$110.25	$311.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $58.80 / $149.47	Professional		$29.40	$58.80	$149.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $805.98 / $1,277.76	Facility		$576.00	$805.98	$1,277.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $222.51	Professional		$102.00	$102.00	$222.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.00 / $596.00 / $2,437.00	Facility		$492.00	$596.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $152.58 / $289.74	Professional		$65.04	$152.58	$289.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.42 / $164.39 / $852.00	Facility		$58.42	$164.39	$852.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $255.12 / $1,376.00	Professional		$147.00	$255.12	$1,376.00
United Facility/Professional Facility Modifier Low / Median / High Price $596.00 / $732.46 / $2,746.00	Facility		$596.00	$732.46	$2,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $201.65 / $348.18	Professional		$140.63	$201.65	$348.18