Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.58 / $1,883.49 / $7,655.00	Facility		$276.58	$1,883.49	$7,655.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.12 / $76.12 / $141.36	Facility	52	$76.12	$76.12	$141.36
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $56.54 / $141.21 / $288.58	Facility	53	$56.54	$141.21	$288.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.05 / $282.72 / $402.56	Professional		$171.05	$282.72	$402.56
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.08 / $81.67 / $171.78	Professional	53	$37.08	$81.67	$171.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.42 / $174.14 / $215.04	Professional		$165.42	$174.14	$215.04
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $107.60 / $107.60 / $107.60	Professional	53	$107.60	$107.60	$107.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.36 / $956.62 / $1,592.44	Facility		$710.36	$956.62	$1,592.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.32 / $447.32 / $590.71	Professional		$447.32	$447.32	$590.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $590.00 / $800.00	Facility		$590.00	$590.00	$800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.14 / $343.90 / $921.09	Facility		$174.14	$343.90	$921.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.58 / $526.95 / $2,206.53	Professional		$356.58	$526.95	$2,206.53
United Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $1,353.00 / $2,746.00	Facility		$525.00	$1,353.00	$2,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.84 / $433.02 / $696.44	Professional		$330.84	$433.02	$696.44