Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.82 / $2,356.00 / $8,400.00	Facility		$347.82	$2,356.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $124.22 / $167.40 / $372.93	Facility	52	$124.22	$167.40	$372.93
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.69 / $66.95 / $149.16	Facility	53	$49.69	$66.95	$149.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $346.93 / $719.43	Professional		$207.04	$346.93	$719.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $103.45 / $163.72	Professional		$81.87	$103.45	$163.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $894.90 / $1,317.77 / $2,088.29	Facility		$894.90	$1,317.77	$2,088.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $440.10 / $683.40	Professional		$440.10	$440.10	$683.40
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 $229.26 / $453.05 / $755.05	Professional		$229.26	$453.05	$755.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.11 / $478.22 / $1,405.04	Facility		$208.11	$478.22	$1,405.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.25 / $679.13 / $3,278.48	Professional		$456.25	$679.13	$3,278.48
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,483.00 / $3,918.00	Facility		$717.00	$1,483.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.31 / $502.55 / $812.24	Professional		$422.31	$502.55	$812.24