Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.85 / $2,832.00 / $7,365.00	Facility		$390.85	$2,832.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $208.88 / $224.92 / $293.13	Facility	54	$208.88	$224.92	$293.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.51 / $344.28 / $949.74	Professional		$278.51	$344.28	$949.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $192.29 / $192.29	Professional		$192.29	$192.29	$192.29
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 $300.64 / $370.00 / $549.66	Professional		$300.64	$370.00	$549.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.83 / $442.36 / $722.58	Professional		$328.83	$442.36	$722.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $299.89 / $469.00 / $992.39	Facility		$299.89	$469.00	$992.39
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,078.76 / $1,078.76 / $1,078.76	Facility	54	$1,078.76	$1,078.76	$1,078.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $341.44 / $519.35 / $2,663.36	Professional		$341.44	$519.35	$2,663.36
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 $324.52 / $432.13 / $734.48	Professional		$324.52	$432.13	$734.48