Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.64 / $2,507.00 / $7,365.00	Facility		$322.64	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.97 / $202.84 / $259.98	Facility	54	$185.97	$202.84	$259.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $309.64 / $712.72	Professional		$247.96	$309.64	$712.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.07 / $405.85 / $405.85	Professional		$293.07	$405.85	$405.85
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 $269.68 / $337.00 / $491.26	Professional		$269.68	$337.00	$491.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.86 / $398.18 / $652.94	Professional		$292.86	$398.18	$652.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.54 / $425.86 / $932.00	Facility		$267.54	$425.86	$932.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $956.89 / $956.89 / $956.89	Facility	54	$956.89	$956.89	$956.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $472.44 / $2,406.08	Professional		$310.99	$472.44	$2,406.08
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 $293.60 / $393.34 / $688.86	Professional		$293.60	$393.34	$688.86