Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $1,475.00 / $5,506.00	Facility		$168.73	$1,475.00	$5,506.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.94 / $34.94 / $55.57	Facility	52	$34.94	$34.94	$55.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.98 / $22.23 / $503.49	Facility	53	$13.98	$22.23	$503.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $114.95 / $492.00	Professional		$73.55	$114.95	$492.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $27.51 / $43.76 / $257.83	Professional	52	$27.51	$43.76	$257.83
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.00 / $17.50 / $103.14	Professional	53	$11.00	$17.50	$103.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $59.80 / $95.12	Professional		$59.80	$59.80	$95.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $298.92 / $492.00	Facility		$79.90	$298.92	$492.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $85.78 / $128.66	Professional		$71.56	$85.78	$128.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $95.34 / $95.34	Facility		$95.34	$95.34	$95.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $110.66 / $181.14	Professional		$71.65	$110.66	$181.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $105.01 / $1,126.00	Facility		$60.52	$105.01	$1,126.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.87 / $228.87 / $228.87	Facility	52	$228.87	$228.87	$228.87
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $57.22 / $57.22 / $57.22	Facility	53	$57.22	$57.22	$57.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $129.72 / $753.20	Professional		$95.20	$129.72	$753.20
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 $92.49 / $113.49 / $200.88	Professional		$92.49	$113.49	$200.88