Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,041.74 / $5,623.41	Facility		$389.05	$2,041.74	$5,623.41
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	52	$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $245.47 / $933.25	Professional		$67.61	$245.47	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $208.93	Professional		$64.57	$120.23	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $3,235.94	Facility		$758.58	$1,548.82	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $575.44	Professional		$162.18	$323.59	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $407.38 / $602.56	Professional		$131.83	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $4,677.35	Facility		$2,187.76	$2,630.27	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $645.65	Professional		$158.49	$316.23	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $389.05 / $1,621.81	Facility		$141.25	$389.05	$1,621.81
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	52	$501.19	$501.19	$501.19
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	53	$123.03	$123.03	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $501.19 / $2,754.23	Professional		$190.55	$501.19	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,884.03	Facility		$724.44	$1,258.93	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $660.69	Professional		$138.04	$331.13	$660.69