Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.89 / $2,395.63 / $5,973.38	Facility		$365.89	$2,395.63	$5,973.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $98.95 / $98.95 / $182.95	Facility	52	$98.95	$98.95	$182.95
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.02 / $136.00 / $228.17	Facility	53	$85.02	$136.00	$228.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $307.89 / $420.77	Professional		$193.28	$307.89	$420.77
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.58 / $98.95 / $182.95	Professional	53	$39.58	$98.95	$182.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $177.11 / $336.93	Professional		$143.46	$177.11	$336.93
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $54.89 / $89.49 / $131.94	Professional	53	$54.89	$89.49	$131.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.26 / $1,559.55 / $2,259.06	Facility		$1,161.26	$1,559.55	$2,259.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $327.60 / $449.84	Professional		$178.50	$327.60	$449.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $969.00 / $969.00	Facility		$969.00	$969.00	$969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.65 / $319.85 / $508.73	Professional		$211.65	$319.85	$508.73
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $210.90 / $320.00 / $357.87	Professional	53	$210.90	$320.00	$357.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.89 / $384.18 / $1,893.90	Facility		$197.89	$384.18	$1,893.90
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $663.66	Facility	52	$663.66	$663.66	$663.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $165.92	Facility	53	$165.92	$165.92	$165.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.97 / $471.35 / $2,761.67	Professional		$288.97	$471.35	$2,761.67
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.17 / $390.73 / $569.54	Professional		$282.17	$390.73	$569.54