Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.25 / $1,559.50 / $4,261.00	Facility		$381.25	$1,559.50	$4,261.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.90 / $498.12 / $562.12	Facility	52	$69.90	$498.12	$562.12
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $27.96 / $36.36 / $224.85	Facility	53	$27.96	$36.36	$224.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.07 / $256.20 / $1,210.47	Professional		$139.07	$256.20	$1,210.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $179.99 / $261.14	Professional		$104.90	$179.99	$261.14
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 $172.15 / $301.24 / $1,580.63	Professional		$172.15	$301.24	$1,580.63
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 $167.50 / $332.02 / $1,934.84	Professional		$167.50	$332.02	$1,934.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.78 / $864.79 / $2,363.00	Facility		$153.78	$864.79	$2,363.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $551.04 / $551.04 / $551.04	Facility	52	$551.04	$551.04	$551.04
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $137.76 / $137.76 / $137.76	Facility	53	$137.76	$137.76	$137.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $2,071.25 / $7,882.64	Professional		$236.80	$2,071.25	$7,882.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $300.31 / $300.31 / $300.31	Professional		$300.31	$300.31	$300.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $1,895.00 / $3,041.00	Facility		$1,216.00	$1,895.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.89 / $1,364.73 / $2,378.09	Professional		$241.89	$1,364.73	$2,378.09