Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.09 / $5,169.97 / $9,900.60	Facility		$996.09	$5,169.97	$9,900.60
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.77 / $117.77 / $679.60	Facility	52	$117.77	$117.77	$679.60
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.11 / $47.11 / $271.83	Facility	53	$47.11	$47.11	$271.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.53 / $381.22 / $1,372.02	Professional		$235.53	$381.22	$1,372.02
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $47.11 / $47.55 / $274.39	Professional	53	$47.11	$47.55	$274.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $298.10 / $298.10	Professional		$298.10	$298.10	$298.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.05 / $8,329.28 / $13,107.25	Facility		$5,343.05	$8,329.28	$13,107.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $1,337.00 / $1,835.89	Professional		$234.16	$1,337.00	$1,835.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $446.42 / $1,732.44	Professional		$276.38	$446.42	$1,732.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.31 / $1,088.50 / $5,465.00	Facility		$247.31	$1,088.50	$5,465.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $840.46 / $840.46 / $840.46	Facility	52	$840.46	$840.46	$840.46
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $210.11 / $210.11 / $210.11	Facility	53	$210.11	$210.11	$210.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.00 / $1,828.64 / $9,714.64	Professional		$363.00	$1,828.64	$9,714.64
United Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $2,900.00 / $5,543.93	Facility		$880.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $343.79 / $1,429.51 / $2,187.15	Professional		$343.79	$1,429.51	$2,187.15