Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.04 / $2,029.00 / $6,422.00	Facility		$120.04	$2,029.00	$6,422.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.27 / $9.27 / $19.80	Facility	53	$9.27	$9.27	$19.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $86.61 / $114.29	Professional		$46.32	$86.61	$114.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.37 / $73.31 / $143.34	Professional	50	$70.37	$73.31	$143.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $163.57 / $163.57	Professional		$163.57	$163.57	$163.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,832.80 / $2,927.28 / $4,626.02	Facility		$1,832.80	$2,927.28	$4,626.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $105.35 / $144.66	Professional		$52.33	$105.35	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.77 / $93.98 / $178.52	Professional		$62.77	$93.98	$178.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $109.04 / $1,145.00	Facility		$48.65	$109.04	$1,145.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $48.61 / $48.61	Facility	53	$48.61	$48.61	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $140.60 / $2,512.54	Professional		$88.67	$140.60	$2,512.54
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 $85.46 / $117.51 / $181.30	Professional		$85.46	$117.51	$181.30