Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.02 / $3,131.00 / $12,154.00	Facility		$317.02	$3,131.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $199.20 / $214.82 / $279.16	Facility	54	$199.20	$214.82	$279.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $328.81 / $747.93	Professional		$265.60	$328.81	$747.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.09 / $329.09 / $329.09	Professional		$329.09	$329.09	$329.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $4,279.00 / $8,563.00	Facility		$2,114.00	$4,279.00	$8,563.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.00 / $341.00 / $504.74	Professional		$278.00	$341.00	$504.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.80 / $412.65 / $669.22	Professional		$305.80	$412.65	$669.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.60 / $427.07 / $841.76	Facility		$265.60	$427.07	$841.76
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,026.83 / $1,026.83 / $1,026.83	Facility	54	$1,026.83	$1,026.83	$1,026.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $493.32 / $2,532.56	Professional		$315.86	$493.32	$2,532.56
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 $309.77 / $402.70 / $674.21	Professional		$309.77	$402.70	$674.21