Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.22 / $2,361.00 / $6,435.00	Facility		$478.22	$2,361.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.48 / $239.11 / $1,413.50	Facility	52	$107.48	$239.11	$1,413.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.99 / $42.99 / $95.64	Facility	53	$42.99	$42.99	$95.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.94 / $350.33 / $496.87	Professional		$214.94	$350.33	$496.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $143.13 / $183.22	Professional		$94.17	$143.13	$183.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,353.71 / $3,681.34 / $5,743.62	Facility		$2,353.71	$3,681.34	$5,743.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.11 / $424.55 / $582.97	Professional		$198.11	$424.55	$582.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.23 / $364.65 / $652.90	Professional		$230.23	$364.65	$652.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $478.22 / $1,760.00	Facility		$214.95	$478.22	$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 $373.24 / $570.49 / $3,278.48	Professional		$373.24	$570.49	$3,278.48
United Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $2,122.34 / $4,083.73	Facility		$640.00	$2,122.34	$4,083.73
United Facility/Professional Professional Modifier Low / Median / High Price $363.26 / $477.97 / $696.54	Professional		$363.26	$477.97	$696.54