Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $2,033.00 / $5,506.00	Facility		$862.00	$2,033.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $85.72 / $243.75	Professional		$34.33	$85.72	$243.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.00 / $35.54 / $80.73	Professional	52	$14.00	$35.54	$80.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $392.76 / $646.45	Facility		$104.98	$392.76	$646.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $46.95 / $70.43	Professional		$24.46	$46.95	$70.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $95.34 / $95.34	Facility		$95.34	$95.34	$95.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $71.87 / $136.00	Professional		$33.34	$71.87	$136.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $78.19 / $1,126.00	Facility		$30.80	$78.19	$1,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $101.54 / $663.12	Professional		$72.76	$101.54	$663.12
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $89.68 / $149.68	Professional		$70.62	$89.68	$149.68