Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $3,131.00 / $10,439.00	Facility		$118.32	$3,131.00	$10,439.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $36.78 / $45.70 / $73.81	Facility	52	$36.78	$45.70	$73.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.71 / $18.28 / $29.52	Facility	53	$14.71	$18.28	$29.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $98.60 / $147.62	Professional		$61.30	$98.60	$147.62
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.65 / $47.05 / $73.81	Professional	52	$30.65	$47.05	$73.81
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $12.26 / $19.32 / $29.52	Professional	53	$12.26	$19.32	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $65.20 / $65.20 / $65.20	Professional	53	$65.20	$65.20	$65.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $1,096.00 / $2,429.98	Facility		$183.24	$1,096.00	$2,429.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $121.00 / $165.12	Professional		$121.00	$121.00	$165.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $130.79 / $192.74	Professional		$75.61	$130.79	$192.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.28 / $143.00 / $526.00	Facility		$60.28	$143.00	$526.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $150.31 / $753.20	Professional		$106.77	$150.31	$753.20
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.05 / $134.76 / $193.09	Professional		$101.05	$134.76	$193.09