Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.25 / $2,399.00 / $5,332.00	Facility		$559.25	$2,399.00	$5,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.32 / $455.43 / $1,110.31	Professional		$254.32	$455.43	$1,110.31
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $46.24 / $82.64 / $134.54	Professional	53	$46.24	$82.64	$134.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.43 / $238.35 / $404.70	Professional		$226.43	$238.35	$404.70
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $225.18 / $225.18 / $225.18	Professional	53	$225.18	$225.18	$225.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $1,813.88 / $3,444.64	Facility		$552.79	$1,813.88	$3,444.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.85 / $346.84 / $557.55	Professional		$262.85	$346.84	$557.55
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 $264.69 / $464.73 / $797.74	Professional		$264.69	$464.73	$797.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.32 / $458.13 / $968.17	Facility		$254.32	$458.13	$968.17
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $909.50 / $909.50 / $2,722.36	Facility	52	$909.50	$909.50	$2,722.36
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $227.37 / $227.37 / $680.59	Facility	53	$227.37	$227.37	$680.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $424.42 / $619.46 / $3,439.23	Professional		$424.42	$619.46	$3,439.23
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $1,425.45 / $1,425.45 / $1,439.75	Professional	53	$1,425.45	$1,425.45	$1,439.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $2,399.00 / $4,640.00	Facility		$1,202.00	$2,399.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $524.37 / $893.49	Professional		$418.11	$524.37	$893.49