Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $2,752.00 / $6,483.00	Facility		$936.00	$2,752.00	$6,483.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $176.99 / $176.99 / $325.51	Facility	53	$176.99	$176.99	$325.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $283.24 / $717.92	Professional		$165.58	$283.24	$717.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $38.14 / $87.81 / $201.76	Professional	53	$38.14	$87.81	$201.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $198.27 / $226.28	Professional		$165.36	$198.27	$226.28
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 $236.78 / $315.54 / $499.13	Professional		$236.78	$315.54	$499.13
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 $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Cigna Facility/Professional Professional Modifier 53 Low / Median / High Price $75.09 / $144.07 / $268.16	Professional	53	$75.09	$144.07	$268.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.66 / $317.87 / $717.92	Facility		$164.66	$317.87	$717.92
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $664.86 / $2,105.19	Facility	52	$664.86	$664.86	$2,105.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $166.21 / $166.21 / $526.29	Facility	53	$166.21	$166.21	$526.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $320.62 / $437.63 / $2,208.13	Professional		$320.62	$437.63	$2,208.13
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 $311.19 / $390.39 / $652.23	Professional		$311.19	$390.39	$652.23
United Facility/Professional Professional Modifier 53 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	53	$88.55	$88.55	$88.55