Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $261.39 / $3,907.00	Facility		$42.91	$261.39	$3,907.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $11.51 / $14.97 / $35.02	Facility	52	$11.51	$14.97	$35.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $61.25 / $235.96	Professional		$24.65	$61.25	$235.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.72 / $28.21 / $35.19	Professional	52	$11.72	$28.21	$35.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Facility		$155.00	$155.00	$155.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $59.98 / $117.28	Professional		$29.57	$59.98	$117.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $63.75 / $136.28	Professional		$28.56	$63.75	$136.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $71.79 / $719.00	Facility		$28.61	$71.79	$719.00
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 $72.59 / $124.64 / $552.69	Professional		$72.59	$124.64	$552.69
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 $62.80 / $99.06 / $158.59	Professional		$62.80	$99.06	$158.59