Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,023.00 / $8,400.00	Facility		$838.00	$3,023.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $178.45 / $178.45 / $178.45	Facility	52	$178.45	$178.45	$178.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $71.38 / $71.38 / $71.38	Facility	53	$71.38	$71.38	$71.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.92 / $412.94 / $519.75	Professional		$332.92	$412.94	$519.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.30 / $407.63 / $606.14	Professional		$356.30	$407.63	$606.14
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 $320.95 / $431.54 / $507.10	Professional		$320.95	$431.54	$507.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.00 / $395.55 / $513.57	Professional		$232.00	$395.55	$513.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $472.50 / $4,083.73	Facility		$318.52	$472.50	$4,083.73
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,012.68 / $6,012.68 / $6,012.68	Facility	52	$6,012.68	$6,012.68	$6,012.68
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $1,503.17 / $1,503.17 / $1,503.17	Facility	53	$1,503.17	$1,503.17	$1,503.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.11 / $416.22 / $2,445.36	Professional		$301.11	$416.22	$2,445.36
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $386.12 / $564.14	Professional		$294.19	$386.12	$564.14