Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $625.00 / $6,245.00	Facility		$47.31	$625.00	$6,245.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $79.05 / $164.19 / $2,324.61	Facility	50	$79.05	$164.19	$2,324.61
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.05 / $16.05 / $22.67	Facility	52	$16.05	$16.05	$22.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $44.89 / $59.01	Professional		$32.09	$44.89	$59.01
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.89 / $16.05 / $22.67	Professional	52	$15.89	$16.05	$22.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $44.35 / $54.35	Professional		$38.81	$44.35	$54.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $66.52 / $76.95 / $84.79	Professional	50	$66.52	$76.95	$84.79
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 $35.18 / $47.92 / $62.00	Professional		$35.18	$47.92	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.38 / $51.96 / $73.15	Professional		$34.38	$51.96	$73.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $59.02 / $1,470.67	Facility		$33.36	$59.02	$1,470.67
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $116.25 / $116.25 / $116.25	Facility	52	$116.25	$116.25	$116.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $68.39 / $356.96	Professional		$44.17	$68.39	$356.96
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 $39.64 / $53.99 / $80.00	Professional		$39.64	$53.99	$80.00