Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.25 / $1,456.00 / $6,435.00	Facility		$139.25	$1,456.00	$6,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $105.05 / $115.55	Professional		$64.45	$105.05	$115.55
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $32.22 / $34.53 / $55.84	Professional	52	$32.22	$34.53	$55.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $95.29 / $130.40	Professional		$91.28	$95.29	$130.40
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $19.39 / $19.39 / $19.39	Professional	52	$19.39	$19.39	$19.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.19 / $856.57 / $1,343.48	Facility		$549.19	$856.57	$1,343.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $105.35 / $144.66	Professional		$61.60	$105.35	$144.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.58 / $110.07 / $152.03	Professional		$71.58	$110.07	$152.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.16 / $116.15 / $1,470.67	Facility		$65.16	$116.15	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $114.40 / $848.56	Professional		$85.81	$114.40	$848.56
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $607.00 / $1,883.00	Facility		$139.00	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $108.68 / $160.87	Professional		$87.06	$108.68	$160.87