Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $1,704.00 / $5,834.40	Facility		$555.57	$1,704.00	$5,834.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.74 / $348.90 / $463.95	Facility	54	$329.74	$348.90	$463.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.29 / $576.23 / $1,800.26	Professional		$476.29	$576.23	$1,800.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $525.32 / $525.32 / $805.44	Professional		$525.32	$525.32	$805.44
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 $487.52 / $589.47 / $953.83	Professional		$487.52	$589.47	$953.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.53 / $719.81 / $1,149.42	Professional		$534.53	$719.81	$1,149.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.49 / $783.36 / $2,020.00	Facility		$478.49	$783.36	$2,020.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,688.06 / $1,688.06 / $1,688.06	Facility	54	$1,688.06	$1,688.06	$1,688.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $554.92 / $844.70 / $4,098.39	Professional		$554.92	$844.70	$4,098.39
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $705.66 / $1,171.99	Professional		$506.05	$705.66	$1,171.99