Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $4,005.00 / $8,515.00	Facility		$265.06	$4,005.00	$8,515.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.74 / $112.86 / $357.25	Facility	52	$93.74	$112.86	$357.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $538.65 / $743.54	Professional		$180.81	$538.65	$743.54
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $93.74 / $310.85 / $371.77	Professional	52	$93.74	$310.85	$371.77
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 $201.87 / $447.90 / $938.56	Professional		$201.87	$447.90	$938.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $435.25 / $1,286.29	Professional		$195.19	$435.25	$1,286.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.47 / $715.54 / $4,114.00	Facility		$187.47	$715.54	$4,114.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $644.26 / $644.26 / $644.26	Facility	52	$644.26	$644.26	$644.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $1,258.46 / $5,058.78	Professional		$645.64	$1,258.46	$5,058.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $5,877.00	Facility		$1,748.00	$3,502.00	$5,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $974.67 / $1,774.19	Professional		$645.64	$974.67	$1,774.19