Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $2,330.00 / $5,691.00	Facility		$138.94	$2,330.00	$5,691.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.07 / $52.04 / $141.16	Facility	52	$40.07	$52.04	$141.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.03 / $20.82 / $56.47	Facility	53	$16.03	$20.82	$56.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.11 / $216.03 / $443.34	Professional		$84.11	$216.03	$443.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $78.26 / $78.26	Professional		$78.26	$78.26	$78.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,508.00 / $3,523.00	Facility		$770.00	$1,508.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $199.70 / $391.25	Professional		$101.71	$199.70	$391.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $2,769.00 / $4,641.00	Facility		$1,693.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $217.00 / $484.11	Professional		$98.11	$217.00	$484.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.57 / $255.44 / $759.03	Facility		$89.57	$255.44	$759.03
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $342.02 / $342.02 / $342.02	Facility	52	$342.02	$342.02	$342.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $85.51 / $85.51 / $85.51	Facility	53	$85.51	$85.51	$85.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.59 / $472.60 / $1,943.60	Professional		$230.59	$472.60	$1,943.60
United Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $2,261.00 / $2,963.00	Facility		$825.00	$2,261.00	$2,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.79 / $331.72 / $594.66	Professional		$223.79	$331.72	$594.66