Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.33 / $4,261.00 / $12,154.00	Facility		$266.33	$4,261.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $184.55 / $199.75 / $258.95	Facility	54	$184.55	$199.75	$258.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $293.58 / $561.23	Professional		$246.06	$293.58	$561.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.63 / $211.63 / $211.63	Professional		$211.63	$211.63	$211.63
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 $246.84 / $309.67 / $461.04	Professional		$246.84	$309.67	$461.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.52 / $384.83 / $631.60	Professional		$282.52	$384.83	$631.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $391.68 / $779.47	Facility		$246.02	$391.68	$779.47
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.02 / $461.22 / $2,370.56	Professional		$295.02	$461.22	$2,370.56
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 $284.52 / $376.61 / $634.44	Professional		$284.52	$376.61	$634.44