Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.78 / $3,232.00 / $10,439.00	Facility		$234.78	$3,232.00	$10,439.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $68.62 / $93.49 / $140.55	Facility	52	$68.62	$93.49	$140.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $171.71 / $281.10	Professional		$114.36	$171.71	$281.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $768.56 / $1,279.35	Facility		$578.00	$768.56	$1,279.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $203.76 / $278.94	Professional		$203.76	$203.76	$278.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $206.61 / $330.00	Professional		$131.63	$206.61	$330.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.98 / $236.03 / $1,661.00	Facility		$118.98	$236.03	$1,661.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $259.45 / $1,280.96	Professional		$189.54	$259.45	$1,280.96
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $219.94 / $340.26	Professional		$176.12	$219.94	$340.26