Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.10 / $3,589.00 / $8,084.00	Facility		$347.10	$3,589.00	$8,084.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.91 / $133.19 / $390.62	Facility	52	$101.91	$133.19	$390.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $662.39 / $1,011.47	Professional		$216.36	$662.39	$1,011.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $247.31 / $392.00	Professional		$158.22	$247.31	$392.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,550.00 / $4,527.00	Facility		$770.00	$1,550.00	$4,527.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.82 / $520.40 / $1,121.11	Professional		$221.82	$520.40	$1,121.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,524.00 / $9,308.00 / $10,577.00	Facility		$4,524.00	$9,308.00	$10,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.15 / $538.52 / $1,404.16	Professional		$247.15	$538.52	$1,404.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.08 / $695.27 / $1,837.84	Facility		$224.08	$695.27	$1,837.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $805.34 / $805.34 / $805.34	Facility	52	$805.34	$805.34	$805.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $710.61 / $1,298.09 / $5,373.76	Professional		$710.61	$1,298.09	$5,373.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $368.16 / $450.80	Professional		$368.16	$368.16	$450.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,332.00 / $3,041.00	Facility		$1,300.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.94 / $1,007.87 / $1,733.67	Professional		$673.94	$1,007.87	$1,733.67