Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.65 / $1,965.00 / $5,506.00	Facility		$420.65	$1,965.00	$5,506.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $562.50 / $562.50 / $562.50	Facility	52	$562.50	$562.50	$562.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $196.31 / $371.41	Professional		$34.28	$196.31	$371.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $45.94 / $45.94	Professional		$45.94	$45.94	$45.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,541.29 / $2,700.74	Facility		$412.80	$1,541.29	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $176.26 / $275.61	Professional		$43.26	$176.26	$275.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.13 / $146.94 / $240.78	Facility		$111.13	$146.94	$240.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $199.64 / $398.83	Professional		$38.81	$199.64	$398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $201.01 / $481.19	Facility		$36.15	$201.01	$481.19
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $135.65 / $562.16	Facility	52	$135.65	$135.65	$562.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.92 / $277.64 / $1,659.04	Professional		$201.92	$277.64	$1,659.04
United Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,424.00 / $2,057.00	Facility		$593.00	$1,424.00	$2,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $245.10 / $438.02	Professional		$197.86	$245.10	$438.02