Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.87 / $1,947.20 / $7,365.00	Facility		$282.87	$1,947.20	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $76.20 / $76.20 / $141.44	Facility	52	$76.20	$76.20	$141.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $76.26 / $141.37 / $289.14	Facility	53	$76.26	$141.37	$289.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.22 / $282.87 / $403.04	Professional		$171.22	$282.87	$403.04
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $37.15 / $81.67 / $172.11	Professional	53	$37.15	$81.67	$172.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.59 / $190.43 / $422.61	Professional		$165.59	$190.43	$422.61
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $86.88 / $107.83 / $107.83	Professional	53	$86.88	$107.83	$107.83
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 $301.75 / $301.75 / $301.75	Professional		$301.75	$301.75	$301.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $344.23 / $1,022.46	Facility		$174.46	$344.23	$1,022.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.53 / $526.55 / $2,208.13	Professional		$350.53	$526.55	$2,208.13
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 $340.32 / $438.19 / $680.64	Professional		$340.32	$438.19	$680.64