Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,511.89 / $6,309.57	Facility		$309.03	$2,511.89	$6,309.57
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.11 / $154.88 / $288.40	Facility	53	$85.11	$154.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $794.33	Professional		$169.82	$295.12	$794.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $74.13 / $120.23 / $194.98	Professional	53	$74.13	$120.23	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $223.87	Professional		$162.18	$177.83	$223.87
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $87.10 / $87.10 / $134.90	Professional	53	$87.10	$87.10	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,479.11	Facility		$741.31	$1,071.52	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $575.44	Professional		$436.52	$436.52	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $794.33	Facility		$676.08	$676.08	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $1,513.56	Facility		$177.83	$346.74	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $2,187.76	Professional		$331.13	$512.86	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,096.48 / $2,754.23	Facility		$467.74	$1,096.48	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $537.03	Professional		$190.55	$331.13	$537.03