Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.07 / $3,131.00 / $8,400.00	Facility		$305.07	$3,131.00	$8,400.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $108.95 / $146.12 / $499.65	Facility	52	$108.95	$146.12	$499.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.27 / $292.24 / $999.29	Professional		$174.27	$292.24	$999.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.48 / $143.19 / $274.77	Professional		$90.48	$143.19	$274.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $653.00 / $1,445.12 / $1,659.68	Facility		$653.00	$1,445.12	$1,659.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.61 / $385.61 / $1,308.92	Professional		$385.61	$385.61	$1,308.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,098.00 / $2,437.00	Facility		$800.00	$1,098.00	$2,437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $391.78 / $1,045.06	Professional		$197.46	$391.78	$1,045.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.59 / $364.26 / $1,925.00	Facility		$181.59	$364.26	$1,925.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.57 / $845.01 / $4,363.52	Professional		$216.57	$845.01	$4,363.52
United Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,081.00 / $3,918.00	Facility		$816.00	$2,081.00	$3,918.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.66 / $666.53 / $1,054.51	Professional		$195.66	$666.53	$1,054.51