Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.62 / $3,131.00 / $10,439.00	Facility		$395.62	$3,131.00	$10,439.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.11 / $30.79 / $190.12	Facility	52	$23.11	$30.79	$190.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $196.31 / $380.24	Professional		$37.51	$196.31	$380.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $32.58 / $32.58	Professional		$32.58	$32.58	$32.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $439.45 / $487.91	Facility		$220.00	$439.45	$487.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $324.56	Professional		$57.26	$57.26	$324.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $178.00 / $914.00	Facility		$178.00	$178.00	$914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $210.41 / $399.76	Professional		$43.23	$210.41	$399.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $200.17 / $416.00	Facility		$38.52	$200.17	$416.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $336.81 / $1,659.04	Professional		$232.78	$336.81	$1,659.04
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $508.00 / $1,907.00	Facility		$191.00	$508.00	$1,907.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.44 / $271.57 / $429.72	Professional		$224.44	$271.57	$429.72