Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.88 / $2,598.00 / $7,365.00	Facility		$370.88	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.62 / $205.53 / $278.16	Facility	54	$197.62	$205.53	$278.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.49 / $316.30 / $573.46	Professional		$263.49	$316.30	$573.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $204.42 / $447.42	Professional		$182.22	$204.42	$447.42
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 $282.75 / $352.00 / $521.85	Professional		$282.75	$352.00	$521.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $406.71 / $669.27	Professional		$315.18	$406.71	$669.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.66 / $444.74 / $961.00	Facility		$276.66	$444.74	$961.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,021.52 / $1,021.52 / $1,021.52	Facility	54	$1,021.52	$1,021.52	$1,021.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $475.48 / $2,416.23	Professional		$309.35	$475.48	$2,416.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $514.53 / $514.53 / $514.53	Professional		$514.53	$514.53	$514.53
United Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $760.00 / $1,300.00	Facility		$205.10	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.89 / $389.66 / $675.89	Professional		$295.89	$389.66	$675.89