Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.50 / $1,888.50 / $5,087.30	Facility		$309.50	$1,888.50	$5,087.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.20 / $144.05 / $173.21	Facility	52	$53.20	$144.05	$173.21
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.28 / $26.09 / $62.57	Facility	53	$21.28	$26.09	$62.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.81 / $238.61 / $515.16	Professional		$100.81	$238.61	$515.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $134.69 / $153.47	Professional		$59.99	$134.69	$153.47
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 $105.96 / $261.00 / $587.69	Professional		$105.96	$261.00	$587.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.16 / $300.23 / $893.51	Professional		$123.16	$300.23	$893.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $325.51 / $1,775.00	Facility		$106.40	$325.51	$1,775.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $388.74 / $388.74 / $388.74	Facility	52	$388.74	$388.74	$388.74
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $97.18 / $97.18 / $97.18	Facility	53	$97.18	$97.18	$97.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.33 / $696.92 / $2,804.09	Professional		$351.33	$696.92	$2,804.09
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,664.00	Facility		$899.00	$1,729.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.83 / $462.66 / $784.35	Professional		$298.83	$462.66	$784.35