Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $2,445.00 / $6,435.00	Facility		$306.64	$2,445.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.08 / $38.08 / $153.33	Facility	52	$38.08	$38.08	$153.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.23 / $15.23 / $61.33	Facility	53	$15.23	$15.23	$61.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $148.81 / $306.64	Professional		$69.76	$148.81	$306.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $78.06 / $107.96	Professional		$62.16	$78.06	$107.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.27 / $3,117.58 / $4,864.05	Facility		$1,993.27	$3,117.58	$4,864.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $266.20 / $377.75	Professional		$71.70	$266.20	$377.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $186.00 / $356.96	Professional		$81.02	$186.00	$356.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.16 / $234.81 / $1,325.00	Facility		$76.16	$234.81	$1,325.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $65.70 / $65.70 / $65.70	Facility	53	$65.70	$65.70	$65.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $310.83 / $2,112.88	Professional		$180.75	$310.83	$2,112.88
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,279.00 / $2,637.00	Facility		$375.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.79 / $266.99 / $449.64	Professional		$174.79	$266.99	$449.64