Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,249.24 / $8,400.00	Facility		$800.00	$3,249.24	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $74.20 / $74.20 / $137.69	Facility	52	$74.20	$74.20	$137.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.86 / $270.68 / $275.39	Professional		$145.86	$270.68	$275.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.71 / $144.71 / $144.71	Professional		$144.71	$144.71	$144.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,652.24 / $4,192.02 / $6,674.72	Facility		$2,652.24	$4,192.02	$6,674.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.76 / $256.58 / $350.60	Professional		$159.76	$256.58	$350.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $220.05 / $378.43	Professional		$149.53	$220.05	$378.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.15 / $326.13 / $3,486.78	Facility		$153.15	$326.13	$3,486.78
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $472.30 / $472.30 / $472.30	Facility	52	$472.30	$472.30	$472.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $395.92 / $1,853.04	Professional		$223.79	$395.92	$1,853.04
United Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,928.00 / $3,790.62	Facility		$498.00	$1,928.00	$3,790.62
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $310.83 / $436.32	Professional		$211.36	$310.83	$436.32