Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.12 / $2,120.00 / $5,370.00	Facility		$566.12	$2,120.00	$5,370.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $210.15 / $381.32	Professional		$80.53	$210.15	$381.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $146.91 / $146.91	Professional		$146.91	$146.91	$146.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.89 / $732.97 / $1,261.97	Facility		$192.89	$732.97	$1,261.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $106.24 / $166.13	Professional		$52.03	$106.24	$166.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.06 / $116.06 / $116.06	Facility	52	$116.06	$116.06	$116.06
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.01 / $29.01 / $29.01	Facility	53	$29.01	$29.01	$29.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $221.76 / $495.66	Professional		$90.60	$221.76	$495.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $196.78 / $1,068.00	Facility		$77.83	$196.78	$1,068.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $306.41 / $306.41 / $306.41	Facility	52	$306.41	$306.41	$306.41
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $76.59 / $76.59 / $76.59	Facility	53	$76.59	$76.59	$76.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $310.80 / $1,646.48	Professional		$229.40	$310.80	$1,646.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $267.06 / $534.12	Professional		$229.40	$267.06	$534.12