Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.62 / $2,361.00 / $5,946.00	Facility		$395.62	$2,361.00	$5,946.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $107.06 / $107.06 / $197.81	Facility	52	$107.06	$107.06	$197.81
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $79.12 / $117.95 / $216.31	Facility	53	$79.12	$117.95	$216.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $275.81 / $395.62	Professional		$180.09	$275.81	$395.62
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.34 / $90.30 / $193.07	Professional	53	$39.34	$90.30	$193.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $198.96 / $449.63	Professional		$173.46	$198.96	$449.63
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $86.88 / $99.65 / $157.80	Professional	53	$86.88	$99.65	$157.80
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 $178.85 / $327.95 / $450.32	Professional		$178.85	$327.95	$450.32
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 $144.02 / $144.02 / $244.40	Professional	53	$144.02	$144.02	$244.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.05 / $345.46 / $1,065.09	Facility		$185.05	$345.46	$1,065.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $664.86 / $664.86	Facility	52	$664.86	$664.86	$664.86
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $166.21 / $166.21 / $166.21	Facility	53	$166.21	$166.21	$166.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $292.11 / $442.42 / $2,208.13	Professional		$292.11	$442.42	$2,208.13
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,327.00 / $2,637.00	Facility		$375.00	$1,327.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $391.37 / $605.44	Professional		$272.26	$391.37	$605.44