Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $2,557.00 / $6,187.00	Facility		$469.00	$2,557.00	$6,187.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.48 / $234.50 / $706.75	Facility	52	$107.48	$234.50	$706.75
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.99 / $42.99 / $93.80	Facility	53	$42.99	$42.99	$93.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $369.86 / $524.10	Professional		$214.94	$369.86	$524.10
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $100.85 / $173.83 / $235.55	Professional	52	$100.85	$173.83	$235.55
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $40.34 / $69.53 / $94.22	Professional	53	$40.34	$69.53	$94.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.35 / $238.08 / $286.27	Professional		$188.35	$238.08	$286.27
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $42.85 / $54.94 / $54.94	Professional	52	$42.85	$54.94	$54.94
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 $193.90 / $421.40 / $578.64	Professional		$193.90	$421.40	$578.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.44 / $385.28 / $640.78	Professional		$231.44	$385.28	$640.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $469.00 / $1,760.00	Facility		$214.95	$469.00	$1,760.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $721.81 / $721.81	Facility	52	$721.81	$721.81	$721.81
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $180.45 / $180.45	Facility	53	$180.45	$180.45	$180.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.22 / $572.11 / $3,212.16	Professional		$350.22	$572.11	$3,212.16
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $8.86 / $8.86 / $8.86	Professional	52	$8.86	$8.86	$8.86
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $363.35 / $481.55 / $696.58	Professional		$363.35	$481.55	$696.58