Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.99 / $2,114.00 / $5,370.00	Facility		$422.99	$2,114.00	$5,370.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $233.40 / $928.00	Professional		$82.71	$233.40	$928.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $37.58 / $103.14 / $232.49	Professional	52	$37.58	$103.14	$232.49
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $15.03 / $41.26 / $93.00	Professional	53	$15.03	$41.26	$93.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.37 / $208.37 / $208.37	Professional		$208.37	$208.37	$208.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.30 / $820.44 / $1,350.37	Facility		$219.30	$820.44	$1,350.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $130.97 / $204.50	Professional		$65.70	$130.97	$204.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.03 / $582.03 / $582.03	Facility		$582.03	$582.03	$582.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $200.28 / $359.49	Professional		$88.41	$200.28	$359.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.67 / $225.53 / $1,438.00	Facility		$82.67	$225.53	$1,438.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $289.45 / $289.45 / $289.45	Facility	52	$289.45	$289.45	$289.45
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.36 / $72.36 / $72.36	Facility	53	$72.36	$72.36	$72.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $269.55 / $1,775.04	Professional		$194.88	$269.55	$1,775.04
United Facility/Professional Facility Modifier Low / Median / High Price $944.00 / $1,525.00 / $3,268.00	Facility		$944.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.79 / $221.63 / $445.33	Professional		$188.79	$221.63	$445.33