Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.75 / $3,232.00 / $10,439.00	Facility		$306.75	$3,232.00	$10,439.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $20.05 / $27.61 / $62.47	Facility	53	$20.05	$27.61	$62.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $170.63 / $312.33	Professional		$83.59	$170.63	$312.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $69.91 / $70.91	Professional		$69.91	$69.91	$70.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $278.07 / $585.62	Facility		$199.00	$278.07	$585.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $334.00	Professional		$159.00	$159.00	$334.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $187.53 / $375.00	Professional		$98.03	$187.53	$375.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $226.99 / $449.00	Facility		$85.26	$226.99	$449.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $321.64 / $1,553.44	Professional		$204.27	$321.64	$1,553.44
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 $204.27 / $244.02 / $375.40	Professional		$204.27	$244.02	$375.40