Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.83 / $1,346.00 / $6,435.00	Facility		$50.83	$1,346.00	$6,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $13.82 / $16.53	Professional		$13.69	$13.82	$16.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $40.17 / $40.17 / $40.17	Professional	50	$40.17	$40.17	$40.17
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.85 / $6.91 / $6.91	Professional	52	$6.85	$6.91	$6.91
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.74 / $2.76 / $2.76	Professional	53	$2.74	$2.76	$2.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $15.95	Professional		$12.07	$12.07	$15.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $24.34 / $24.34 / $24.34	Professional	50	$24.34	$24.34	$24.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $149.83 / $217.04	Facility		$111.56	$149.83	$217.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $17.25 / $18.73	Professional		$13.65	$17.25	$18.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $16.72 / $19.44	Professional		$13.15	$16.72	$19.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $100.00 / $2,526.73	Facility		$13.69	$100.00	$2,526.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $17.76 / $116.72	Professional		$12.56	$17.76	$116.72
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.88 / $22.09	Professional		$11.97	$15.88	$22.09