Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $1,930.00 / $9,133.00	Facility		$95.92	$1,930.00	$9,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $96.68 / $153.77	Professional		$57.10	$96.68	$153.77
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.55 / $48.34 / $76.89	Professional	52	$28.55	$48.34	$76.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $91.96 / $174.11	Professional		$72.06	$91.96	$174.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $266.00 / $588.02	Facility		$186.13	$266.00	$588.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $92.28 / $142.13	Professional		$78.44	$92.28	$142.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $109.92 / $181.76	Professional		$70.70	$109.92	$181.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $107.11 / $797.00	Facility		$57.10	$107.11	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $131.63 / $848.56	Professional		$103.49	$131.63	$848.56
United Facility/Professional Facility Modifier Low / Median / High Price $149.54 / $409.00 / $1,713.00	Facility		$149.54	$409.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.65 / $114.40 / $164.54	Professional		$99.65	$114.40	$164.54