Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $1,717.00 / $5,691.00	Facility		$515.29	$1,717.00	$5,691.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $275.80 / $306.20 / $389.47	Facility	54	$275.80	$306.20	$389.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.73 / $449.51 / $813.35	Professional		$367.73	$449.51	$813.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $440.70 / $460.07	Professional		$284.26	$440.70	$460.07
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 $410.61 / $504.01 / $783.63	Professional		$410.61	$504.01	$783.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.61 / $601.74 / $970.95	Professional		$439.61	$601.74	$970.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.27 / $655.48 / $2,020.00	Facility		$408.27	$655.48	$2,020.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,415.72 / $1,415.72 / $1,415.72	Facility	54	$1,415.72	$1,415.72	$1,415.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.18 / $717.80 / $3,606.48	Professional		$477.18	$717.80	$3,606.48
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $437.84 / $607.28 / $1,001.68	Professional		$437.84	$607.28	$1,001.68