Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $2,832.00 / $8,000.00	Facility		$818.00	$2,832.00	$8,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.72 / $25.72 / $39.36	Facility	52	$25.72	$25.72	$39.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $61.67 / $450.00	Professional		$51.44	$61.67	$450.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $108.34 / $177.78	Professional		$82.66	$108.34	$177.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $107.17 / $186.79	Professional		$69.56	$107.17	$186.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $108.92 / $1,829.00	Facility		$55.00	$108.92	$1,829.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $157.69 / $157.69 / $2,055.60	Facility	52	$157.69	$157.69	$2,055.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $131.57 / $1,398.72	Professional		$64.59	$131.57	$1,398.72
United Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,410.00 / $2,664.00	Facility		$709.00	$1,410.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $104.72 / $208.95	Professional		$63.39	$104.72	$208.95