Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.26 / $3,067.00 / $7,365.00	Facility		$600.26	$3,067.00	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $177.91 / $177.91 / $252.77	Facility	52	$177.91	$177.91	$252.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $425.76 / $1,284.45	Professional		$355.82	$425.76	$1,284.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.44 / $607.79 / $667.26	Professional		$369.44	$607.79	$667.26
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 $411.97 / $520.00 / $822.28	Professional		$411.97	$520.00	$822.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.75 / $598.86 / $939.39	Professional		$419.75	$598.86	$939.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.17 / $664.90 / $8,660.15	Facility		$390.17	$664.90	$8,660.15
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $870.38 / $870.38 / $6,791.96	Facility	52	$870.38	$870.38	$6,791.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.80 / $108.80 / $849.00	Facility	AS	$108.80	$108.80	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $613.41 / $3,259.28	Professional		$427.30	$613.41	$3,259.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $698.97 / $698.97 / $698.97	Professional		$698.97	$698.97	$698.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.47 / $558.04 / $906.31	Professional		$406.47	$558.04	$906.31