Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.73 / $2,173.53 / $6,480.00	Facility		$537.73	$2,173.53	$6,480.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.43 / $271.13 / $1,804.00	Facility	52	$124.43	$271.13	$1,804.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.77 / $67.02 / $146.13	Facility	53	$49.77	$67.02	$146.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.38 / $404.34 / $718.01	Professional		$207.38	$404.34	$718.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $103.69 / $199.79 / $365.34	Professional	52	$103.69	$199.79	$365.34
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $41.48 / $77.06 / $146.13	Professional	53	$41.48	$77.06	$146.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $206.91 / $226.02	Professional		$163.72	$206.91	$226.02
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $51.73 / $51.73 / $70.90	Professional	52	$51.73	$51.73	$70.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.32 / $1,360.10 / $2,514.55	Facility		$1,047.32	$1,360.10	$2,514.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.74 / $475.74 / $727.59	Professional		$475.74	$475.74	$727.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $800.00 / $2,437.00	Facility		$744.00	$800.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $463.00 / $795.00	Professional		$234.13	$463.00	$795.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $502.66 / $1,415.40	Facility		$214.95	$502.66	$1,415.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.71 / $679.28 / $3,212.16	Professional		$426.71	$679.28	$3,212.16
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,483.00 / $3,918.00	Facility		$816.00	$1,483.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.83 / $512.19 / $806.93	Professional		$283.83	$512.19	$806.93