Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $1,667.00 / $4,261.00	Facility		$116.23	$1,667.00	$4,261.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $26.96 / $32.69 / $58.12	Facility	52	$26.96	$32.69	$58.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $113.77 / $253.07	Professional		$58.91	$113.77	$253.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $76.23 / $197.37	Professional		$51.81	$76.23	$197.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $114.77 / $201.40	Professional		$70.89	$114.77	$201.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.97 / $153.19 / $289.22	Professional		$82.97	$153.19	$289.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.20 / $147.19 / $1,775.00	Facility		$63.20	$147.19	$1,775.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $188.63 / $1,001.20	Professional		$114.34	$188.63	$1,001.20
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,664.00	Facility		$899.00	$1,729.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $165.56 / $251.03	Professional		$112.58	$165.56	$251.03