Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.20 / $2,414.00 / $7,365.00	Facility		$346.20	$2,414.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $209.94 / $250.34 / $305.70	Facility	54	$209.94	$250.34	$305.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $348.95 / $791.95	Professional		$247.37	$348.95	$791.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $219.52 / $259.64 / $411.17	Professional	54	$219.52	$259.64	$411.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.82 / $339.80 / $367.84	Professional		$305.82	$339.80	$367.84
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 $263.00 / $326.94 / $482.82	Professional		$263.00	$326.94	$482.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $394.50 / $490.41 / $724.23	Professional	50	$394.50	$490.41	$724.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.95 / $419.64 / $687.32	Professional		$296.95	$419.64	$687.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $250.91 / $416.96 / $828.99	Facility		$250.91	$416.96	$828.99
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,094.65 / $1,094.65 / $1,094.65	Facility	54	$1,094.65	$1,094.65	$1,094.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.20 / $499.90 / $2,607.36	Professional		$304.20	$499.90	$2,607.36
United Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $760.00 / $1,300.00	Facility		$205.10	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.73 / $398.24 / $682.64	Professional		$291.73	$398.24	$682.64