Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,041.74 / $5,370.32	Facility		$309.03	$2,041.74	$5,370.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	52	$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $524.81	Professional		$100.00	$229.09	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $169.82	Professional		$79.43	$109.65	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $263.03 / $537.03	Professional		$109.65	$263.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $302.00 / $478.63	Professional		$97.72	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $707.95	Professional		$123.03	$281.84	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $416.87 / $1,905.46	Facility		$54.95	$416.87	$1,905.46
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	52	$389.05	$389.05	$389.05
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	53	$97.72	$97.72	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $691.83 / $2,818.38	Professional		$302.00	$691.83	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,047.13 / $2,187.76	Facility		$478.63	$1,047.13	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $288.40 / $758.58	Professional		$123.03	$288.40	$758.58