Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.39 / $2,652.00 / $6,435.00	Facility		$397.39	$2,652.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.18 / $157.40 / $1,007.00	Facility	52	$57.18	$157.40	$1,007.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.87 / $22.87 / $62.96	Facility	53	$22.87	$22.87	$62.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $249.87 / $342.26	Professional		$97.14	$249.87	$342.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $111.69 / $126.53	Professional		$87.38	$111.69	$126.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,624.83 / $2,541.32 / $3,964.97	Facility		$1,624.83	$2,541.32	$3,964.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.55 / $287.35 / $394.57	Professional		$102.55	$287.35	$394.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.82 / $185.57 / $427.17	Professional		$121.82	$185.57	$427.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.35 / $314.79 / $1,964.41	Facility		$114.35	$314.79	$1,964.41
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $381.48 / $381.48	Facility	52	$381.48	$381.48	$381.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $95.37 / $95.37	Facility	53	$95.37	$95.37	$95.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $409.05 / $2,156.80	Professional		$268.77	$409.05	$2,156.80
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 $262.58 / $339.82 / $495.21	Professional		$262.58	$339.82	$495.21