Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.40 / $2,356.00 / $6,422.00	Facility		$616.40	$2,356.00	$6,422.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $37.94 / $69.29 / $870.00	Facility	52	$37.94	$69.29	$870.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $130.35 / $138.58	Professional		$75.17	$130.35	$138.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $119.74 / $161.65	Professional		$119.74	$119.74	$161.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.53 / $1,845.00 / $2,903.36	Facility		$1,183.53	$1,845.00	$2,903.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $128.86 / $176.38	Professional		$88.42	$128.86	$176.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $138.90 / $192.05	Professional		$83.65	$138.90	$192.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $152.44 / $1,944.37	Facility		$75.88	$152.44	$1,944.37
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $190.33 / $1,001.20	Professional		$115.23	$190.33	$1,001.20
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 $112.58 / $145.69 / $205.30	Professional		$112.58	$145.69	$205.30