Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $1,282.78 / $5,560.00	Facility		$113.09	$1,282.78	$5,560.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $35.33 / $47.66 / $57.51	Facility	52	$35.33	$47.66	$57.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $119.32 / $538.00	Professional		$82.55	$119.32	$538.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $116.32 / $190.98	Professional		$85.61	$116.32	$190.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $140.44 / $247.09	Professional		$95.71	$140.44	$247.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $141.69 / $884.00	Facility		$63.06	$141.69	$884.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $354.86 / $354.86 / $354.86	Facility	52	$354.86	$354.86	$354.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $168.00 / $967.36	Professional		$108.51	$168.00	$967.36
United Facility/Professional Facility Modifier Low / Median / High Price $142.22 / $760.00 / $1,300.00	Facility		$142.22	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.04 / $143.78 / $258.01	Professional		$106.04	$143.78	$258.01