Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.21 / $3,213.00 / $7,365.00	Facility		$517.21	$3,213.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.62 / $303.52 / $387.90	Facility	54	$275.62	$303.52	$387.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.30 / $455.27 / $723.68	Professional		$389.30	$455.27	$723.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.47 / $567.47 / $567.47	Professional		$567.47	$567.47	$567.47
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 $403.27 / $491.76 / $767.22	Professional		$403.27	$491.76	$767.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.54 / $596.28 / $971.37	Professional		$441.54	$596.28	$971.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.70 / $650.85 / $3,018.00	Facility		$404.70	$650.85	$3,018.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,414.67 / $1,414.67 / $1,414.67	Facility	54	$1,414.67	$1,414.67	$1,414.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.62 / $710.32 / $3,572.56	Professional		$474.62	$710.32	$3,572.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,874.00 / $5,829.00	Facility		$1,438.00	$2,874.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $590.54 / $983.06	Professional		$436.87	$590.54	$983.06