Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $1,897.00 / $9,133.00	Facility		$63.00	$1,897.00	$9,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $15.58 / $27.42	Professional		$11.61	$15.58	$27.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.42 / $25.94 / $51.88	Professional	50	$17.42	$25.94	$51.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.60 / $6.60 / $10.92	Professional	52	$6.60	$6.60	$10.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.64 / $2.64 / $4.37	Professional	53	$2.64	$2.64	$4.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $12.70 / $12.70	Professional		$6.35	$12.70	$12.70
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $19.05 / $19.05 / $19.05	Professional	50	$19.05	$19.05	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $209.21 / $586.49	Facility		$99.00	$209.21	$586.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $18.67 / $18.67	Professional		$15.87	$18.67	$18.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $19.00 / $25.94	Professional		$14.06	$19.00	$25.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.66 / $21.90 / $1,087.00	Facility		$13.66	$21.90	$1,087.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.34 / $116.72	Professional		$14.44	$18.34	$116.72
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.20 / $28.05	Professional		$14.13	$16.20	$28.05