Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $2,502.00 / $5,476.00	Facility		$688.00	$2,502.00	$5,476.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $93.02 / $176.99 / $2,563.00	Facility	53	$93.02	$176.99	$2,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.13 / $341.90 / $928.53	Professional		$184.13	$341.90	$928.53
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.98 / $96.15 / $271.61	Professional	53	$41.98	$96.15	$271.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.06 / $200.86 / $304.41	Professional		$164.06	$200.86	$304.41
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $47.95 / $87.19 / $136.30	Professional	53	$47.95	$87.19	$136.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $1,790.38 / $3,444.64	Facility		$552.79	$1,790.38	$3,444.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $252.94 / $419.53	Professional		$190.97	$252.94	$419.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.18 / $550.34 / $901.73	Facility		$416.18	$550.34	$901.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.98 / $344.53 / $587.55	Professional		$191.98	$344.53	$587.55
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $75.09 / $133.18 / $216.49	Professional	53	$75.09	$133.18	$216.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.43 / $341.90 / $731.86	Facility		$185.43	$341.90	$731.86
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $2,105.19	Facility	52	$663.66	$663.66	$2,105.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $526.29	Facility	53	$165.92	$165.92	$526.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $461.57 / $2,761.67	Professional		$314.24	$461.57	$2,761.67
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $952.25 / $1,092.00 / $1,206.00	Professional	53	$952.25	$1,092.00	$1,206.00
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,517.00 / $4,486.00	Facility		$966.00	$2,517.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $305.95 / $390.39 / $657.93	Professional		$305.95	$390.39	$657.93
United Facility/Professional Professional Modifier 53 Low / Median / High Price $143.90 / $143.90 / $143.90	Professional	53	$143.90	$143.90	$143.90