Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.65 / $2,536.00 / $7,500.00	Facility		$637.65	$2,536.00	$7,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.13 / $15.13 / $34.13	Facility	53	$15.13	$15.13	$34.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.83 / $152.79 / $200.26	Professional		$73.83	$152.79	$200.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $70.88 / $119.74	Professional		$70.88	$70.88	$119.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $1,043.58 / $1,511.68	Facility		$769.58	$1,043.58	$1,511.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $187.60 / $257.60	Professional		$82.25	$187.60	$257.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $105.52 / $123.38	Facility		$105.52	$105.52	$123.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $140.32 / $284.62	Professional		$94.71	$140.32	$284.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $181.08 / $871.04	Facility		$79.59	$181.08	$871.04
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 $179.79 / $270.02 / $1,553.44	Professional		$179.79	$270.02	$1,553.44
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $223.06 / $324.60	Professional		$173.63	$223.06	$324.60