Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.13 / $2,832.00 / $7,365.00	Facility		$380.13	$2,832.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.06 / $227.63 / $285.10	Facility	54	$203.06	$227.63	$285.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.74 / $335.04 / $864.28	Professional		$270.74	$335.04	$864.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $189.85 / $513.99	Professional		$189.85	$189.85	$513.99
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 $272.91 / $350.00 / $513.66	Professional		$272.91	$350.00	$513.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.70 / $429.86 / $706.26	Professional		$311.70	$429.86	$706.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.51 / $452.24 / $951.27	Facility		$285.51	$452.24	$951.27
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,053.30 / $1,053.30 / $1,053.30	Facility	54	$1,053.30	$1,053.30	$1,053.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.34 / $522.51 / $2,708.08	Professional		$331.34	$522.51	$2,708.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Professional		$591.09	$591.09	$591.09
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 $322.70 / $429.61 / $734.17	Professional		$322.70	$429.61	$734.17