Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.05 / $3,417.00 / $7,400.00	Facility		$688.05	$3,417.00	$7,400.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.28 / $83.34 / $237.62	Facility	53	$69.28	$83.34	$237.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.47 / $625.04 / $1,948.04	Professional		$318.47	$625.04	$1,948.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $363.89 / $468.31	Professional		$274.43	$363.89	$468.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $5,084.00	Facility		$821.00	$1,963.00	$5,084.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $881.94 / $1,673.68	Professional		$369.27	$881.94	$1,673.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.88 / $742.72 / $2,051.62	Professional		$323.88	$742.72	$2,051.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $416.70 / $1,529.39 / $7,767.00	Facility		$416.70	$1,529.39	$7,767.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $297.92 / $297.92 / $297.92	Facility	53	$297.92	$297.92	$297.92
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $148.96 / $148.96 / $148.96	Facility	AS	$148.96	$148.96	$148.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.57 / $2,150.50 / $7,664.36	Professional		$1,124.57	$2,150.50	$7,664.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $3,318.00 / $5,698.00	Facility		$2,120.00	$3,318.00	$5,698.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,104.70 / $1,709.93 / $2,950.10	Professional		$1,104.70	$1,709.93	$2,950.10