Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $2,598.00 / $7,365.00	Facility		$280.00	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.76 / $176.04 / $236.65	Facility	54	$168.76	$176.04	$236.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.01 / $269.32 / $480.22	Professional		$225.01	$269.32	$480.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $354.20 / $354.20	Professional		$354.20	$354.20	$354.20
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 $237.15 / $294.42 / $440.94	Professional		$237.15	$294.42	$440.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $345.69 / $573.92	Professional		$268.00	$345.69	$573.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.82 / $354.00 / $755.00	Facility		$200.82	$354.00	$755.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $874.23 / $874.23 / $874.23	Facility	54	$874.23	$874.23	$874.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $264.49 / $406.49 / $2,084.23	Professional		$264.49	$406.49	$2,084.23
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 $252.21 / $333.90 / $567.99	Professional		$252.21	$333.90	$567.99