Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.82 / $2,438.00 / $7,500.00	Facility		$176.82	$2,438.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $124.10 / $131.19	Professional		$79.37	$124.10	$131.19
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $39.69 / $42.41 / $65.59	Professional	52	$39.69	$42.41	$65.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.25 / $112.25 / $159.52	Professional		$112.25	$112.25	$159.52
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $22.85 / $22.85 / $22.85	Professional	52	$22.85	$22.85	$22.85
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 $82.57 / $123.90 / $170.13	Professional		$82.57	$123.90	$170.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $131.56 / $180.92	Professional		$86.73	$131.56	$180.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $136.46 / $1,470.67	Facility		$80.02	$136.46	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $134.25 / $993.12	Professional		$111.43	$134.25	$993.12
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $604.50 / $1,883.00	Facility		$100.00	$604.50	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.40 / $134.25 / $194.58	Professional		$107.40	$134.25	$194.58