Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.55 / $2,598.00 / $7,365.00	Facility		$286.55	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $152.18 / $156.97 / $214.91	Facility	54	$152.18	$156.97	$214.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $242.13 / $416.13	Professional		$200.02	$242.13	$416.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $163.80 / $229.91	Professional		$163.80	$163.80	$229.91
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 $210.20 / $265.10 / $402.14	Professional		$210.20	$265.10	$402.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.49 / $312.45 / $498.67	Professional		$243.49	$312.45	$498.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.06 / $341.17 / $932.00	Facility		$213.06	$341.17	$932.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $443.97 / $443.97 / $792.63	Facility	54	$443.97	$443.97	$792.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.81 / $352.37 / $1,865.28	Professional		$227.81	$352.37	$1,865.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $218.90 / $301.80 / $514.29	Professional		$218.90	$301.80	$514.29