Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.50 / $2,531.00 / $6,483.00	Facility		$891.50	$2,531.00	$6,483.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $176.42 / $176.42 / $324.95	Facility	53	$176.42	$176.42	$324.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.30 / $282.91 / $646.16	Professional		$165.30	$282.91	$646.16
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.01 / $86.03 / $199.00	Professional	53	$38.01	$86.03	$199.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $173.16 / $220.70	Professional		$165.09	$173.16	$220.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.79 / $2,055.03 / $3,616.69	Facility		$552.79	$2,055.03	$3,616.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $315.27 / $498.72	Professional		$236.41	$315.27	$498.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.18 / $550.34 / $901.73	Facility		$416.18	$550.34	$901.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $75.09 / $143.54 / $267.63	Professional	53	$75.09	$143.54	$267.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.40 / $317.87 / $717.14	Facility		$164.40	$317.87	$717.14
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $2,105.19	Facility	52	$663.66	$663.66	$2,105.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $526.29	Facility	53	$165.92	$165.92	$526.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $319.94 / $436.65 / $2,206.53	Professional		$319.94	$436.65	$2,206.53
Medica Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $1,525.00 / $3,051.00	Facility		$703.00	$1,525.00	$3,051.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $385.81 / $679.20	Professional		$310.52	$385.81	$679.20
United Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55