Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.68 / $2,215.00 / $7,365.00	Facility		$208.68	$2,215.00	$7,365.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $131.19 / $139.52 / $184.24	Facility	54	$131.19	$139.52	$184.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $220.00 / $488.19	Professional		$174.92	$220.00	$488.19
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $139.52 / $162.33 / $415.86	Professional	54	$139.52	$162.33	$415.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $231.27 / $316.77	Professional		$123.68	$231.27	$316.77
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 $176.00 / $234.82 / $337.42	Professional		$176.00	$234.82	$337.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.75 / $277.69 / $459.35	Professional		$213.75	$277.69	$459.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.92 / $285.51 / $640.28	Facility		$174.92	$285.51	$640.28
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $681.37 / $681.37 / $681.37	Facility	54	$681.37	$681.37	$681.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $329.39 / $1,670.64	Professional		$216.35	$329.39	$1,670.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $364.29 / $364.29 / $364.29	Professional		$364.29	$364.29	$364.29
United Facility/Professional Facility Modifier Low / Median / High Price $180.52 / $550.00 / $1,300.00	Facility		$180.52	$550.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.33 / $271.10 / $452.89	Professional		$203.33	$271.10	$452.89