Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.11 / $2,598.00 / $7,365.00	Facility		$230.11	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $122.24 / $134.93 / $172.58	Facility	54	$122.24	$134.93	$172.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $199.28 / $375.90	Professional		$162.97	$199.28	$375.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.29 / $113.29 / $113.29	Professional		$113.29	$113.29	$113.29
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 $180.42 / $227.11 / $335.98	Professional		$180.42	$227.11	$335.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.45 / $268.37 / $436.68	Professional		$201.45	$268.37	$436.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $276.30 / $640.28	Facility		$162.97	$276.30	$640.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $635.79 / $635.79 / $635.79	Facility	54	$635.79	$635.79	$635.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $319.98 / $1,621.44	Professional		$211.48	$319.98	$1,621.44
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 $196.00 / $262.87 / $444.35	Professional		$196.00	$262.87	$444.35