Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.88 / $1,184.00 / $5,691.00	Facility		$505.88	$1,184.00	$5,691.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $283.55 / $317.70 / $401.70	Facility	54	$283.55	$317.70	$401.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.06 / $468.62 / $1,229.98	Professional		$378.06	$468.62	$1,229.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $453.66 / $640.33	Professional		$453.66	$453.66	$640.33
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 $420.21 / $518.21 / $801.52	Professional		$420.21	$518.21	$801.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $619.48 / $999.56	Professional		$455.00	$619.48	$999.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.60 / $674.07 / $2,020.00	Facility		$423.60	$674.07	$2,020.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,455.99 / $1,455.99 / $1,455.99	Facility	54	$1,455.99	$1,455.99	$1,455.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.43 / $740.28 / $3,741.04	Professional		$495.43	$740.28	$3,741.04
United Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,410.00 / $2,664.00	Facility		$709.00	$1,410.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.40 / $608.41 / $1,029.89	Professional		$454.40	$608.41	$1,029.89