Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.50 / $2,330.00 / $6,284.00	Facility		$522.50	$2,330.00	$6,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $315.58 / $344.96 / $444.27	Facility	54	$315.58	$344.96	$444.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $521.54 / $1,014.64	Professional		$426.43	$521.54	$1,014.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.63 / $288.63 / $716.90	Professional		$288.63	$288.63	$716.90
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 $473.08 / $579.05 / $909.42	Professional		$473.08	$579.05	$909.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.79 / $688.84 / $1,119.38	Professional		$512.79	$688.84	$1,119.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $459.94 / $750.20 / $2,363.00	Facility		$459.94	$750.20	$2,363.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,610.71 / $1,610.71 / $1,610.71	Facility	54	$1,610.71	$1,610.71	$1,610.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.72 / $815.99 / $4,043.60	Professional		$540.72	$815.99	$4,043.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,306.00 / $3,074.00	Facility		$1,216.00	$2,306.00	$3,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.82 / $674.55 / $1,138.66	Professional		$495.82	$674.55	$1,138.66