Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $34.93 / $45.08	Professional		$28.63	$34.93	$45.08
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $157.50 / $157.50 / $157.50	Professional	22	$157.50	$157.50	$157.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.32 / $17.38 / $21.07	Professional	52	$14.32	$17.38	$21.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $36.52 / $60.17	Professional		$27.82	$36.52	$60.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $42.82 / $47.10	Facility		$42.82	$42.82	$47.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $29.31 / $37.18	Professional		$25.55	$29.31	$37.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $41.61 / $75.13	Professional		$28.03	$41.61	$75.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $34.88 / $53.17	Facility		$27.07	$34.88	$53.17
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $115.06 / $115.06 / $115.06	Facility	52	$115.06	$115.06	$115.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $48.65 / $279.23	Professional		$33.13	$48.65	$279.23
Medica Facility/Professional Professional Modifier 22 Low / Median / High Price $136.50 / $136.50 / $136.50	Professional	22	$136.50	$136.50	$136.50
Medica Facility/Professional Professional Modifier 52 Low / Median / High Price $96.69 / $96.69 / $96.69	Professional	52	$96.69	$96.69	$96.69
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $39.20 / $65.31	Professional		$32.22	$39.20	$65.31