Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $197.98 / $2,000.00	Facility		$63.60	$197.98	$2,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $31.80 / $31.80 / $48.76	Facility	52	$31.80	$31.80	$48.76
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $12.72 / $12.72 / $19.50	Facility	53	$12.72	$12.72	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $97.52 / $352.53	Professional		$63.60	$97.52	$352.53
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.05 / $47.20 / $48.76	Professional	52	$28.05	$47.20	$48.76
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $11.22 / $18.88 / $55.08	Professional	53	$11.22	$18.88	$55.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.27 / $193.66 / $252.57	Professional		$124.27	$193.66	$252.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $174.16 / $260.14	Professional		$99.69	$174.16	$260.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $97.52 / $190.80	Facility		$63.60	$97.52	$190.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $203.12 / $253.50	Professional		$118.99	$203.12	$253.50
United Facility/Professional Professional Modifier Low / Median / High Price $118.99 / $194.71 / $253.50	Professional		$118.99	$194.71	$253.50