Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $2,397.00 / $6,435.00	Facility		$197.06	$2,397.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.73 / $29.73 / $98.53	Facility	52	$29.73	$29.73	$98.53
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $11.89 / $11.89 / $39.40	Facility	53	$11.89	$11.89	$39.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $97.88 / $197.06	Professional		$55.93	$97.88	$197.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $70.09 / $192.54	Professional		$40.45	$70.09	$192.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,811.55 / $2,833.37 / $4,420.60	Facility		$1,811.55	$2,833.37	$4,420.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $175.70 / $241.26	Professional		$54.36	$175.70	$241.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $145.72 / $234.87	Professional		$63.64	$145.72	$234.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.45 / $175.88 / $1,333.00	Facility		$59.45	$175.88	$1,333.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $207.08 / $207.08	Facility	52	$207.08	$207.08	$207.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $51.77 / $51.77	Facility	53	$51.77	$51.77	$51.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $198.45 / $1,376.00	Professional		$136.53	$198.45	$1,376.00
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,188.00 / $2,421.00	Facility		$270.00	$1,188.00	$2,421.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $179.73 / $285.99	Professional		$133.19	$179.73	$285.99