Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,398.83 / $5,623.41	Facility		$524.81	$2,398.83	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $263.03 / $933.25	Professional		$85.11	$263.03	$933.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.71 / $147.91 / $776.25	Professional	52	$45.71	$147.91	$776.25
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.67 / $134.90 / $691.83	Professional	53	$34.67	$134.90	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $288.40	Professional		$72.44	$194.98	$288.40
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $63.10 / $63.10 / $63.10	Professional	52	$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $660.69 / $1,000.00	Facility		$204.17	$660.69	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $181.97 / $363.08	Professional		$66.07	$181.97	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $363.08	Professional		$91.20	$204.17	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $2,570.40	Facility		$83.18	$229.09	$2,570.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	52	$288.40	$288.40	$288.40
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	53	$72.44	$72.44	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $1,778.28	Professional		$186.21	$257.04	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,513.56 / $3,235.94	Facility		$575.44	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $331.13	Professional		$87.10	$181.97	$331.13