Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $154.09 / $157.60	Facility		$78.80	$154.09	$157.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $38.79 / $72.59	Professional		$29.33	$38.79	$72.59
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.67 / $18.23 / $36.29	Professional	52	$14.67	$18.23	$36.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $33.84 / $43.59	Professional		$31.18	$33.84	$43.59
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $8.46 / $8.46 / $8.46	Professional	52	$8.46	$8.46	$8.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $78.19 / $82.30	Facility		$78.19	$78.19	$82.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $60.00 / $337.97	Facility		$48.27	$60.00	$337.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $46.00 / $72.88	Professional		$31.88	$46.00	$72.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.43 / $41.91 / $72.59	Facility		$29.43	$41.91	$72.59
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 / $52.92 / $279.23	Professional		$33.13	$52.92	$279.23
United Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $47.86 / $67.39	Professional		$33.13	$47.86	$67.39