Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $3,617.00 / $6,329.00	Facility		$936.00	$3,617.00	$6,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $76.87 / $317.00	Professional		$44.17	$76.87	$317.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $20.07 / $32.42 / $121.36	Professional	52	$20.07	$32.42	$121.36
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $8.02 / $12.97 / $48.55	Professional	53	$8.02	$12.97	$48.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $83.14 / $83.14	Professional		$83.14	$83.14	$83.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,640.88 / $2,700.74	Facility		$438.60	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $63.55 / $95.32	Professional		$52.24	$63.55	$95.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.91 / $70.91 / $70.91	Facility		$70.91	$70.91	$70.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $72.23 / $125.90	Professional		$44.41	$72.23	$125.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.18 / $77.51 / $1,126.00	Facility		$44.18	$77.51	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $93.01 / $552.16	Professional		$66.65	$93.01	$552.16
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $78.52 / $143.24	Professional		$65.28	$78.52	$143.24