Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $827.99 / $5,584.50	Facility		$79.58	$827.99	$5,584.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $75.69 / $480.98 / $5,367.00	Facility	50	$75.69	$480.98	$5,367.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.87 / $23.87 / $33.76	Facility	52	$23.87	$23.87	$33.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $62.31 / $79.58	Professional		$45.59	$62.31	$79.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.15 / $64.75 / $91.79	Professional		$49.15	$64.75	$91.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $73.72 / $88.43 / $141.03	Professional	50	$73.72	$88.43	$141.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.37 / $1,217.40 / $1,899.24	Facility		$776.37	$1,217.40	$1,899.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $60.90 / $83.62	Professional		$45.06	$60.90	$83.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.23 / $54.23 / $54.23	Facility		$54.23	$54.23	$54.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $76.63 / $108.16	Professional		$48.32	$76.63	$108.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.16 / $1,130.00	Facility		$50.12	$79.16	$1,130.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,233.54 / $1,233.54 / $1,233.54	Facility	50	$1,233.54	$1,233.54	$1,233.54
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $77.58 / $482.48	Professional		$54.30	$77.58	$482.48
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $94.61 / $107.40 / $115.73	Professional	50	$94.61	$107.40	$115.73
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $68.73 / $96.27	Professional		$51.10	$68.73	$96.27
United Facility/Professional Professional Modifier 50 Low / Median / High Price $136.40 / $136.40 / $136.40	Professional	50	$136.40	$136.40	$136.40