Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.60 / $2,598.00 / $7,365.00	Facility		$601.60	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $319.73 / $337.22 / $451.20	Facility	54	$319.73	$337.22	$451.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.58 / $527.49 / $1,191.49	Professional		$449.58	$527.49	$1,191.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $359.88 / $359.88 / $359.88	Professional		$359.88	$359.88	$359.88
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 $464.19 / $573.26 / $894.73	Professional		$464.19	$573.26	$894.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.99 / $683.21 / $1,108.23	Professional		$504.99	$683.21	$1,108.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $449.62 / $713.09 / $1,402.81	Facility		$449.62	$713.09	$1,402.81
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,639.31 / $1,639.31 / $1,639.31	Facility	54	$1,639.31	$1,639.31	$1,639.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $531.29 / $798.65 / $3,960.88	Professional		$531.29	$798.65	$3,960.88
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 $490.13 / $683.46 / $1,145.22	Professional		$490.13	$683.46	$1,145.22