Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.15 / $1,184.00 / $5,389.00	Facility		$182.15	$1,184.00	$5,389.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $100.70 / $117.02 / $162.61	Facility	54	$100.70	$117.02	$162.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $197.76 / $806.00	Professional		$144.28	$197.76	$806.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $252.30 / $273.39	Professional		$233.96	$252.30	$273.39
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 $148.00 / $197.07 / $314.52	Professional		$148.00	$197.07	$314.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $222.00 / $295.36 / $471.79	Professional	50	$222.00	$295.36	$471.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $245.42 / $417.05	Professional		$177.99	$245.42	$417.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.84 / $237.60 / $884.00	Facility		$119.84	$237.60	$884.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $589.19 / $589.19 / $589.19	Facility	54	$589.19	$589.19	$589.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $267.69 / $1,602.24	Professional		$172.27	$267.69	$1,602.24
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $218.93 / $385.13	Professional		$165.83	$218.93	$385.13