Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.87 / $1,184.00 / $4,908.00	Facility		$208.87	$1,184.00	$4,908.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.94 / $22.82 / $121.08	Facility	52	$16.94	$22.82	$121.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $97.49 / $380.24	Professional		$35.07	$97.49	$380.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,785.00 / $4,773.00	Facility		$862.00	$1,785.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $149.26 / $345.41	Professional		$37.93	$149.26	$345.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.43 / $188.53 / $404.62	Professional		$41.43	$188.53	$404.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $195.71 / $507.58	Facility		$36.68	$195.71	$507.58
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $135.65 / $135.65 / $135.65	Facility	52	$135.65	$135.65	$135.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.14 / $410.34 / $1,659.04	Professional		$221.14	$410.34	$1,659.04
United Facility/Professional Facility Modifier Low / Median / High Price $336.00 / $718.00 / $1,667.00	Facility		$336.00	$718.00	$1,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $321.77 / $567.13	Professional		$212.25	$321.77	$567.13