Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.63 / $1,997.86 / $8,614.23	Facility		$283.63	$1,997.86	$8,614.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.67 / $63.90 / $191.35	Facility	52	$54.67	$63.90	$191.35
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.87 / $25.56 / $76.54	Facility	53	$21.87	$25.56	$76.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $217.09 / $382.70	Professional		$91.12	$217.09	$382.70
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.56 / $111.72 / $191.35	Professional	52	$45.56	$111.72	$191.35
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $18.22 / $44.69 / $76.54	Professional	53	$18.22	$44.69	$76.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.44 / $83.44 / $83.44	Professional		$83.44	$83.44	$83.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.54 / $892.80 / $1,673.80	Facility		$647.54	$892.80	$1,673.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $183.69 / $329.61	Professional		$183.69	$183.69	$329.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $215.22 / $390.46	Professional		$94.68	$215.22	$390.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.98 / $283.63 / $2,746.00	Facility		$91.98	$283.63	$2,746.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $302.43 / $1,775.04	Professional		$216.18	$302.43	$1,775.04
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,334.94 / $2,746.00	Facility		$525.00	$1,334.94	$2,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.73 / $249.58 / $442.03	Professional		$209.73	$249.58	$442.03