Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,630.27 / $5,888.44	Facility		$363.08	$2,630.27	$5,888.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $97.72 / $181.97 / $1,096.48	Facility	53	$97.72	$181.97	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $831.76	Professional		$181.97	$338.84	$831.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $67.61 / $141.25 / $288.40	Professional	53	$67.61	$141.25	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $338.84	Professional		$154.88	$199.53	$338.84
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $46.77 / $91.20 / $131.83	Professional	53	$46.77	$91.20	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,238.72	Facility		$1,148.15	$1,698.24	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $446.68	Professional		$177.83	$331.13	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $562.34	Professional		$208.93	$331.13	$562.34
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $213.80 / $229.09 / $363.08	Professional	53	$213.80	$229.09	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $2,570.40	Facility		$199.53	$398.11	$2,570.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	52	$660.69	$660.69	$660.69
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	53	$165.96	$165.96	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $2,754.23	Professional		$281.84	$426.58	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,949.84 / $3,467.37	Facility		$501.19	$1,949.84	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $489.78	Professional		$173.78	$288.40	$489.78