Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $3,145.00 / $6,435.00	Facility		$800.00	$3,145.00	$6,435.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.08 / $322.18 / $458.00	Facility	52	$94.08	$322.18	$458.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $200.68 / $652.32	Professional		$168.36	$200.68	$652.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $189.61 / $250.31	Professional		$94.81	$189.61	$250.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,971.35 / $4,647.35 / $7,250.81	Facility		$2,971.35	$4,647.35	$7,250.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $583.10 / $800.68	Professional		$169.75	$583.10	$800.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.76 / $282.80 / $851.37	Professional		$196.76	$282.80	$851.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.15 / $531.00 / $2,156.51	Facility		$188.15	$531.00	$2,156.51
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $634.61 / $634.61 / $634.61	Facility	52	$634.61	$634.61	$634.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $666.53 / $4,363.52	Professional		$216.96	$666.53	$4,363.52
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $4,012.00	Facility		$575.00	$1,760.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.92 / $605.94 / $964.17	Professional		$207.92	$605.94	$964.17