Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.09 / $1,965.00 / $5,506.00	Facility		$413.09	$1,965.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $107.54 / $335.12	Professional		$60.09	$107.54	$335.12
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.14 / $48.94 / $86.01	Professional	52	$30.14	$48.94	$86.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $102.18 / $150.58	Professional		$75.29	$102.18	$150.58
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $56.06 / $56.06 / $56.06	Professional	52	$56.06	$56.06	$56.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $93.35 / $124.72	Professional		$57.35	$93.35	$124.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $96.12 / $156.27	Professional		$58.95	$96.12	$156.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $104.44 / $1,424.00	Facility		$63.51	$104.44	$1,424.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $109.06 / $514.64	Professional		$85.80	$109.06	$514.64
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $48.45 / $48.45 / $48.45	Professional	52	$48.45	$48.45	$48.45
United Facility/Professional Facility Modifier Low / Median / High Price $169.42 / $1,203.00 / $2,175.00	Facility		$169.42	$1,203.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $104.61 / $146.81	Professional		$85.59	$104.61	$146.81