Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.53 / $261.70 / $618.41	Facility		$121.53	$261.70	$618.41
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.95 / $104.36 / $281.08	Facility	52	$55.95	$104.36	$281.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $168.92 / $353.71	Professional		$79.43	$168.92	$353.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $73.59 / $73.59	Professional		$73.59	$73.59	$73.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $335.29 / $587.52	Facility		$89.80	$335.29	$587.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $101.31 / $160.25	Professional		$70.73	$101.31	$160.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $167.59 / $363.35	Professional		$81.04	$167.59	$363.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $152.54 / $337.37	Facility		$79.43	$152.54	$337.37
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $310.81 / $310.81 / $310.81	Facility	52	$310.81	$310.81	$310.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.01 / $271.18 / $1,806.86	Professional		$165.01	$271.18	$1,806.86
United Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $207.72 / $369.36	Professional		$157.47	$207.72	$369.36