Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.00 / $7,243.33 / $17,002.20	Facility		$1,474.00	$7,243.33	$17,002.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $356.51 / $356.51 / $356.51	Facility	52	$356.51	$356.51	$356.51
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $142.60 / $142.60 / $142.60	Facility	53	$142.60	$142.60	$142.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.69 / $713.00 / $942.47	Professional		$632.69	$713.00	$942.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $717.97 / $851.83	Professional		$553.69	$717.97	$851.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,813.00 / $12,220.00 / $19,065.61	Facility		$7,813.00	$12,220.00	$19,065.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.35 / $856.96 / $997.68	Professional		$637.35	$856.96	$997.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,170.00 / $5,170.00 / $5,170.00	Facility		$5,170.00	$5,170.00	$5,170.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.13 / $884.33 / $1,142.23	Professional		$652.13	$884.33	$1,142.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $973.52 / $10,160.00	Facility		$684.85	$973.52	$10,160.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $12,302.24 / $12,302.24 / $12,302.24	Facility	52	$12,302.24	$12,302.24	$12,302.24
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $3,075.56 / $3,075.56 / $3,075.56	Facility	53	$3,075.56	$3,075.56	$3,075.56
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.53 / $839.62 / $4,971.47	Professional		$602.53	$839.62	$4,971.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,851.00 / $6,871.00 / $14,139.00	Facility		$1,851.00	$6,871.00	$14,139.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.89 / $744.58 / $1,110.17	Professional		$576.89	$744.58	$1,110.17