Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.66 / $2,832.00 / $7,365.00	Facility		$373.66	$2,832.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $198.19 / $214.64 / $280.24	Facility	54	$198.19	$214.64	$280.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.25 / $315.38 / $643.38	Professional		$264.25	$315.38	$643.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.79 / $494.79 / $494.79	Professional		$494.79	$494.79	$494.79
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 $287.49 / $355.00 / $522.29	Professional		$287.49	$355.00	$522.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.18 / $421.41 / $695.05	Professional		$312.18	$421.41	$695.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $286.19 / $450.50 / $961.00	Facility		$286.19	$450.50	$961.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,032.09 / $1,032.09 / $1,032.09	Facility	54	$1,032.09	$1,032.09	$1,032.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $497.44 / $2,561.19	Professional		$329.97	$497.44	$2,561.19
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 $310.52 / $433.00 / $694.64	Professional		$310.52	$433.00	$694.64