Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $1,392.60 / $5,431.00	Facility		$196.07	$1,392.60	$5,431.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $19.46 / $69.00	Professional		$12.49	$19.46	$69.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.46 / $50.00 / $106.00	Professional	50	$22.46	$50.00	$106.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.01 / $7.20 / $48.33	Professional	52	$7.01	$7.20	$48.33
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.80 / $2.98 / $65.00	Professional	53	$2.80	$2.98	$65.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $14.04 / $18.77	Professional		$11.82	$14.04	$18.77
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $18.84 / $22.17 / $26.16	Professional	50	$18.84	$22.17	$26.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $49.40 / $77.88	Facility		$12.95	$49.40	$77.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $13.70 / $17.12	Professional		$10.27	$13.70	$17.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $17.36 / $29.99	Professional		$13.33	$17.36	$29.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $21.37 / $1,689.00	Facility		$14.78	$21.37	$1,689.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $15.20 / $116.72	Professional		$12.24	$15.20	$116.72
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $15.12 / $29.42	Professional		$12.24	$15.12	$29.42