Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.25 / $818.00 / $5,389.00	Facility		$309.25	$818.00	$5,389.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.46 / $143.35 / $183.96	Facility	52	$129.46	$143.35	$183.96
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $194.19 / $215.02 / $275.94	Facility	54	$194.19	$215.02	$275.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.15 / $317.13 / $634.21	Professional		$254.15	$317.13	$634.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.23 / $313.23 / $447.47	Professional		$313.23	$313.23	$447.47
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 $263.13 / $322.88 / $503.57	Professional		$263.13	$322.88	$503.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.08 / $407.54 / $670.06	Professional		$306.08	$407.54	$670.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $433.76 / $933.75	Facility		$283.02	$433.76	$933.75
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $330.62 / $1,151.73 / $1,151.73	Facility	52	$330.62	$1,151.73	$1,151.73
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,007.76 / $1,007.76 / $1,007.76	Facility	54	$1,007.76	$1,007.76	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $485.25 / $2,546.80	Professional		$301.32	$485.25	$2,546.80
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 $271.54 / $372.06 / $650.10	Professional		$271.54	$372.06	$650.10