Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,023.00 / $8,400.00	Facility		$838.00	$3,023.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $732.63 / $1,114.50	Professional		$204.43	$732.63	$1,114.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.11 / $251.11 / $251.11	Professional		$251.11	$251.11	$251.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.98 / $1,497.40 / $2,169.03	Facility		$1,114.98	$1,497.40	$2,169.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.91 / $853.65 / $1,172.18	Professional		$214.91	$853.65	$1,172.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.86 / $359.01 / $1,335.96	Professional		$229.86	$359.01	$1,335.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.10 / $862.92 / $2,029.44	Facility		$218.10	$862.92	$2,029.44
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $836.76 / $1,346.51 / $6,044.48	Professional		$836.76	$1,346.51	$6,044.48
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.29 / $1,069.97 / $1,549.18	Professional		$798.29	$1,069.97	$1,549.18