Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $2,008.00 / $6,284.00	Facility		$170.18	$2,008.00	$6,284.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $56.32 / $68.91 / $85.86	Facility	52	$56.32	$68.91	$85.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $169.55 / $481.85	Professional		$112.63	$169.55	$481.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,581.00 / $3,523.00	Facility		$770.00	$1,581.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $178.76 / $293.99	Professional		$132.13	$178.76	$293.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $225.04 / $422.24	Professional		$121.15	$225.04	$422.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.26 / $236.03 / $1,264.00	Facility		$118.26	$236.03	$1,264.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $421.46 / $421.46 / $421.46	Facility	52	$421.46	$421.46	$421.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.48 / $328.84 / $1,280.96	Professional		$185.48	$328.84	$1,280.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,351.00	Facility		$245.00	$760.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.01 / $240.91 / $360.52	Professional		$175.01	$240.91	$360.52