Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.00 / $2,502.00 / $6,305.00	Facility		$808.00	$2,502.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.09 / $404.66 / $851.99	Professional		$201.09	$404.66	$851.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $118.13 / $178.70	Professional		$102.51	$118.13	$178.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $2,038.45 / $3,616.69	Facility		$552.79	$2,038.45	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $350.42 / $554.29	Professional		$231.66	$350.42	$554.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $711.68 / $1,166.08	Facility		$446.00	$711.68	$1,166.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.70 / $405.44 / $731.80	Professional		$210.70	$405.44	$731.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.66 / $436.92 / $878.48	Facility		$201.66	$436.92	$878.48
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $721.81 / $2,722.36	Facility	52	$721.81	$721.81	$2,722.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $180.45 / $680.59	Facility	53	$180.45	$180.45	$680.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.32 / $541.79 / $3,278.48	Professional		$397.32	$541.79	$3,278.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $2,416.00 / $4,640.00	Facility		$1,202.00	$2,416.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $478.72 / $817.58	Professional		$391.07	$478.72	$817.58