Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,454.71 / $5,888.44	Facility		$645.65	$2,454.71	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $467.74 / $1,258.93	Professional		$194.98	$467.74	$1,258.93
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $194.98 / $426.58 / $1,258.93	Professional	52	$194.98	$426.58	$1,258.93
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $138.04 / $524.81	Professional	53	$81.28	$138.04	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $457.09	Professional		$162.18	$223.87	$457.09
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	52	$63.10	$63.10	$63.10
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $151.36 / $177.83 / $588.84	Professional	53	$151.36	$177.83	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,096.48 / $2,630.27	Facility		$549.54	$1,096.48	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $812.83	Professional		$194.98	$323.59	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,174.90	Facility		$446.68	$645.65	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $724.44	Professional		$213.80	$407.38	$724.44
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	53	$281.84	$281.84	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $436.52 / $1,288.25	Facility		$199.53	$436.52	$1,288.25
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $2,691.53	Facility	52	$724.44	$724.44	$2,691.53
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $676.08	Facility	53	$181.97	$181.97	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $3,235.94	Professional		$371.54	$602.56	$3,235.94
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional	52	$1,023.29	$1,023.29	$1,023.29
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Professional	53	$1,096.48	$1,096.48	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $4,677.35	Facility		$977.24	$1,862.09	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $660.69	Professional		$204.17	$398.11	$660.69