Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $2,923.00 / $18,600.00	Facility		$75.19	$2,923.00	$18,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $75.18 / $90.49	Professional		$46.75	$75.18	$90.49
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.38 / $23.60 / $37.95	Professional	52	$23.38	$23.60	$37.95
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.35 / $9.44 / $15.18	Professional	53	$9.35	$9.44	$15.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.29 / $329.41 / $477.16	Facility		$245.29	$329.41	$477.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $69.30 / $95.16	Professional		$46.49	$69.30	$95.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $78.84 / $109.07	Professional		$49.34	$78.84	$109.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $87.13 / $1,470.67	Facility		$49.09	$87.13	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $101.24 / $552.16	Professional		$63.67	$101.24	$552.16
United Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $610.00 / $1,883.00	Facility		$106.95	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $80.22 / $113.18	Professional		$58.71	$80.22	$113.18