Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.61 / $3,213.00 / $7,365.00	Facility		$652.61	$3,213.00	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.59 / $89.06 / $329.48	Facility	52	$72.59	$89.06	$329.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.65 / $385.47 / $908.04	Professional		$138.65	$385.47	$908.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.54 / $347.73 / $1,176.22	Professional		$156.54	$347.73	$1,176.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $482.15 / $1,377.38	Professional		$172.00	$482.15	$1,377.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $678.98 / $1,972.00	Facility		$145.19	$678.98	$1,972.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $530.45 / $530.45 / $530.45	Facility	52	$530.45	$530.45	$530.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.41 / $1,169.81 / $4,841.12	Professional		$634.41	$1,169.81	$4,841.12
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,664.00	Facility		$899.00	$1,729.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.91 / $1,035.08 / $1,429.17	Professional		$629.91	$1,035.08	$1,429.17