Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.57 / $3,120.00 / $7,365.00	Facility		$318.57	$3,120.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $193.04 / $214.07 / $270.57	Facility	54	$193.04	$214.07	$270.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $318.57 / $752.18	Professional		$257.38	$318.57	$752.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.60 / $503.60 / $503.60	Professional		$503.60	$503.60	$503.60
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 $268.86 / $325.97 / $507.01	Professional		$268.86	$325.97	$507.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $408.74 / $668.11	Professional		$304.32	$408.74	$668.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.88 / $436.92 / $944.91	Facility		$277.88	$436.92	$944.91
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $997.15 / $997.15 / $997.15	Facility	54	$997.15	$997.15	$997.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $491.79 / $2,533.04	Professional		$316.81	$491.79	$2,533.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $579.14 / $579.14 / $579.14	Professional		$579.14	$579.14	$579.14
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 $274.45 / $385.50 / $650.10	Professional		$274.45	$385.50	$650.10