Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.48 / $7,395.21 / $14,023.00	Facility		$1,762.48	$7,395.21	$14,023.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $415.66 / $415.66 / $544.45	Facility	52	$415.66	$415.66	$544.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $166.26 / $166.26 / $217.78	Facility	53	$166.26	$166.26	$217.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.03 / $713.01 / $1,088.89	Professional		$606.03	$713.01	$1,088.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $535.71 / $632.16 / $1,050.18	Professional		$535.71	$632.16	$1,050.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,288.30 / $6,871.99 / $10,778.52	Facility		$4,288.30	$6,871.99	$10,778.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.94 / $1,019.93 / $1,019.93	Professional		$866.94	$1,019.93	$1,019.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,399.00 / $3,298.00 / $11,441.00	Facility		$2,399.00	$3,298.00	$11,441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.84 / $918.75 / $1,317.91	Professional		$628.84	$918.75	$1,317.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.76 / $988.54 / $9,851.00	Facility		$692.76	$988.54	$9,851.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $692.56 / $905.63 / $4,971.47	Professional		$692.56	$905.63	$4,971.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $6,170.00 / $12,989.00	Facility		$2,269.00	$6,170.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.73 / $824.89 / $1,350.24	Professional		$681.73	$824.89	$1,350.24