Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.63 / $1,730.53 / $3,498.00	Facility		$299.63	$1,730.53	$3,498.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $55.78 / $925.50 / $982.44	Facility	52	$55.78	$925.50	$982.44
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $22.31 / $64.44 / $2,029.57	Facility	53	$22.31	$64.44	$2,029.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $199.48 / $599.61	Professional		$111.54	$199.48	$599.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $133.86 / $210.02	Professional		$67.76	$133.86	$210.02
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 $143.94 / $266.25 / $480.31	Professional		$143.94	$266.25	$480.31
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 $137.22 / $276.33 / $564.22	Professional		$137.22	$276.33	$564.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.40 / $299.64 / $920.56	Facility		$124.40	$299.64	$920.56
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $442.02 / $442.02 / $442.02	Facility	52	$442.02	$442.02	$442.02
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $110.50 / $110.50 / $110.50	Facility	53	$110.50	$110.50	$110.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.57 / $535.44 / $2,132.08	Professional		$265.57	$535.44	$2,132.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $161.02	Professional		$80.51	$80.51	$161.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,895.00 / $3,041.00	Facility		$1,380.00	$1,895.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.13 / $410.44 / $683.17	Professional		$269.13	$410.44	$683.17