Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.81 / $2,543.00 / $7,655.00	Facility		$397.81	$2,543.00	$7,655.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $66.04 / $183.61 / $616.04	Facility	52	$66.04	$183.61	$616.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $26.42 / $35.85 / $99.25	Facility	53	$26.42	$35.85	$99.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $179.23 / $496.24	Professional		$104.70	$179.23	$496.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $110.43 / $124.84	Professional		$87.38	$110.43	$124.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.39 / $903.86 / $1,079.60	Facility		$342.39	$903.86	$1,079.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.45 / $181.45 / $500.15	Professional		$181.45	$181.45	$500.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.00 / $596.00 / $621.00	Facility		$553.00	$596.00	$621.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.11 / $264.44 / $512.69	Professional		$119.11	$264.44	$512.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.54 / $306.01 / $816.00	Facility		$105.54	$306.01	$816.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $308.93 / $470.54 / $2,156.80	Professional		$308.93	$470.54	$2,156.80
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,081.00 / $3,918.00	Facility		$816.00	$2,081.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.37 / $379.98 / $602.17	Professional		$299.37	$379.98	$602.17