Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $3,630.78 / $8,511.38	Facility		$75.86	$3,630.78	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $109.65	Professional		$40.74	$67.61	$109.65
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	53	$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $93.33	Professional		$40.74	$67.61	$93.33
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	52	$23.44	$23.44	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $251.19 / $251.19	Facility		$239.88	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $114.82	Professional		$72.44	$72.44	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $134.90	Professional		$47.86	$75.86	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $91.20 / $1,096.48	Facility		$53.70	$91.20	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $549.54	Professional		$69.18	$95.50	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $407.38 / $1,778.28	Facility		$151.36	$407.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $102.33	Professional		$48.98	$70.79	$102.33