Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.11 / $3,131.00 / $12,154.00	Facility		$270.11	$3,131.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.87 / $195.25 / $261.26	Facility	54	$185.87	$195.25	$261.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $306.58 / $671.32	Professional		$245.16	$306.58	$671.32
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $195.25 / $229.94 / $395.90	Professional	54	$195.25	$229.94	$395.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $351.56 / $386.75	Professional		$283.02	$351.56	$386.75
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 $230.00 / $297.50 / $437.28	Professional		$230.00	$297.50	$437.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.49 / $375.09 / $610.33	Professional		$264.49	$375.09	$610.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $373.28 / $774.52	Facility		$210.66	$373.28	$774.52
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $969.60 / $969.60 / $969.60	Facility	54	$969.60	$969.60	$969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $447.00 / $2,320.96	Professional		$276.08	$447.00	$2,320.96
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 $260.75 / $361.20 / $610.62	Professional		$260.75	$361.20	$610.62