Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $572.04 / $3,894.71	Facility		$116.76	$572.04	$3,894.71
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $57.71 / $68.95 / $93.67	Facility	54	$57.71	$68.95	$93.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $131.93 / $328.50	Professional		$89.81	$131.93	$328.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $149.88 / $179.88	Professional		$87.43	$149.88	$179.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.64 / $111.81 / $176.59	Professional		$83.64	$111.81	$176.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.17 / $139.41 / $243.89	Professional		$104.17	$139.41	$243.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $135.40 / $875.00	Facility		$76.34	$135.40	$875.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $343.32 / $343.32 / $343.32	Facility	54	$343.32	$343.32	$343.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $153.09 / $950.56	Professional		$99.32	$153.09	$950.56
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $718.00 / $1,795.00	Facility		$245.00	$718.00	$1,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $126.70 / $220.34	Professional		$95.88	$126.70	$220.34