Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $1,704.00 / $6,284.00	Facility		$63.67	$1,704.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $76.06 / $178.31	Professional		$29.49	$76.06	$178.31
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.03 / $34.95 / $43.59	Professional	52	$14.03	$34.95	$43.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $94.60 / $94.60	Professional		$94.60	$94.60	$94.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $75.54 / $130.75	Professional		$35.52	$75.54	$130.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $79.90 / $161.59	Professional		$34.61	$79.90	$161.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $88.68 / $755.00	Facility		$34.40	$88.68	$755.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $153.01 / $663.12	Professional		$89.29	$153.01	$663.12
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $112.64 / $191.01	Professional		$77.23	$112.64	$191.01