Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.85 / $1,519.93 / $4,649.00	Facility		$118.85	$1,519.93	$4,649.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $69.63 / $295.00	Professional		$27.63	$69.63	$295.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.66 / $28.99 / $66.98	Professional	52	$11.66	$28.99	$66.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $127.52 / $223.44	Facility		$37.57	$127.52	$223.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $38.28 / $57.42	Professional		$20.37	$38.28	$57.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $58.03 / $124.35	Professional		$27.51	$58.03	$124.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $63.77 / $1,053.00	Facility		$25.64	$63.77	$1,053.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $89.63 / $89.63 / $89.63	Facility	52	$89.63	$89.63	$89.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $89.31 / $552.69	Professional		$61.69	$89.31	$552.69
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 $59.16 / $78.31 / $137.53	Professional		$59.16	$78.31	$137.53