Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $3,350.00 / $6,319.00	Facility		$914.00	$3,350.00	$6,319.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $429.00 / $429.00 / $429.00	Facility	53	$429.00	$429.00	$429.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $271.95 / $570.26	Professional		$97.14	$271.95	$570.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $100.18 / $140.25	Professional		$64.12	$100.18	$140.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $1,944.47 / $3,444.64	Facility		$552.79	$1,944.47	$3,444.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $230.08 / $363.94	Professional		$122.70	$230.08	$363.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.02 / $565.99 / $927.38	Facility		$428.02	$565.99	$927.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $261.56 / $520.45	Professional		$111.92	$261.56	$520.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.70 / $271.11 / $660.05	Facility		$104.70	$271.11	$660.05
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $381.48 / $2,165.08	Facility	52	$381.48	$381.48	$2,165.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $95.37 / $541.27	Facility	53	$95.37	$95.37	$541.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.79 / $390.88 / $2,156.80	Professional		$281.79	$390.88	$2,156.80
United Facility/Professional Facility Modifier Low / Median / High Price $966.00 / $2,499.00 / $4,486.00	Facility		$966.00	$2,499.00	$4,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $336.33 / $581.00	Professional		$267.52	$336.33	$581.00