Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.01 / $1,730.53 / $4,747.00	Facility		$274.01	$1,730.53	$4,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $80.45 / $104.64 / $205.40	Facility	52	$80.45	$104.64	$205.40
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.18 / $41.86 / $82.16	Facility	53	$32.18	$41.86	$82.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.06 / $321.73 / $555.80	Professional		$170.06	$321.73	$555.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $218.34 / $299.64	Professional		$143.77	$218.34	$299.64
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 $198.75 / $334.67 / $569.29	Professional		$198.75	$334.67	$569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.00 / $2,769.00 / $4,641.00	Facility		$2,213.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.50 / $354.98 / $690.41	Professional		$193.50	$354.98	$690.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.36 / $374.74 / $1,222.50	Facility		$177.36	$374.74	$1,222.50
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $633.38 / $633.38 / $633.38	Facility	52	$633.38	$633.38	$633.38
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $158.34 / $158.34 / $158.34	Facility	53	$158.34	$158.34	$158.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.39 / $714.86 / $2,839.20	Professional		$279.39	$714.86	$2,839.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $2,332.00 / $3,041.00	Facility		$1,185.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.91 / $464.99 / $852.43	Professional		$269.91	$464.99	$852.43