Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.30 / $2,111.00 / $6,245.00	Facility		$395.30	$2,111.00	$6,245.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.90 / $106.90 / $197.65	Facility	52	$106.90	$106.90	$197.65
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.06 / $117.59 / $215.83	Facility	53	$79.06	$117.59	$215.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $275.57 / $395.30	Professional		$180.09	$275.57	$395.30
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.11 / $90.24 / $197.65	Professional	53	$39.11	$90.24	$197.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $218.86 / $250.17	Professional		$173.16	$218.86	$250.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.26 / $1,559.55 / $2,259.06	Facility		$1,161.26	$1,559.55	$2,259.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $327.60 / $449.84	Professional		$178.50	$327.60	$449.84
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 $143.83 / $143.83 / $244.21	Professional	53	$143.83	$143.83	$244.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $345.46 / $1,063.59	Facility		$185.82	$345.46	$1,063.59
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $663.66 / $663.66 / $663.66	Facility	52	$663.66	$663.66	$663.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $165.92 / $165.92 / $165.92	Facility	53	$165.92	$165.92	$165.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.45 / $441.89 / $2,206.53	Professional		$295.45	$441.89	$2,206.53
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.87 / $390.54 / $549.91	Professional		$281.87	$390.54	$549.91