Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.15 / $2,385.00 / $7,500.00	Facility		$224.15	$2,385.00	$7,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.65 / $32.65 / $51.89	Facility	52	$32.65	$32.65	$51.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.06 / $13.06 / $20.75	Facility	53	$13.06	$13.06	$20.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $103.76 / $124.91	Professional		$65.31	$103.76	$124.91
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.65 / $32.97 / $52.38	Professional	52	$32.65	$32.97	$52.38
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $13.06 / $13.19 / $20.95	Professional	53	$13.06	$13.19	$20.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $80.78 / $92.32	Professional		$80.78	$80.78	$92.32
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $26.93 / $26.93 / $26.93	Professional	52	$26.93	$26.93	$26.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $329.41 / $477.16	Facility		$245.29	$329.41	$477.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $103.76 / $133.61	Professional		$74.73	$103.76	$133.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $115.25 / $157.99	Professional		$67.55	$115.25	$157.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $130.33 / $1,470.67	Facility		$65.93	$130.33	$1,470.67
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 $90.95 / $142.69 / $753.20	Professional		$90.95	$142.69	$753.20
United Facility/Professional Facility Modifier Low / Median / High Price $116.20 / $607.00 / $1,883.00	Facility		$116.20	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $111.64 / $161.97	Professional		$85.89	$111.64	$161.97