Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,905.46 / $7,943.28	Facility		$151.36	$1,905.46	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $446.68	Professional		$81.28	$223.87	$446.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $147.91 / $147.91 / $147.91	Professional	52	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $977.24 / $977.24 / $1,000.00	Professional	53	$977.24	$977.24	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $281.84	Professional		$70.79	$177.83	$281.84
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $70.79 / $70.79 / $70.79	Professional	52	$70.79	$70.79	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $1,174.90	Facility		$676.08	$831.76	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $323.59	Professional		$181.97	$181.97	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $389.05	Professional		$91.20	$199.53	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $323.59 / $3,981.07	Facility		$109.65	$323.59	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $1,778.28	Professional		$208.93	$263.03	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $2,570.40	Facility		$489.78	$794.33	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $302.00	Professional		$91.20	$204.17	$302.00