Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.25 / $1,704.00 / $4,111.00	Facility		$87.25	$1,704.00	$4,111.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.65 / $33.69 / $99.18	Facility	52	$25.65	$33.69	$99.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $10.26 / $13.48 / $39.67	Facility	53	$10.26	$13.48	$39.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $137.25 / $343.22	Professional		$54.03	$137.25	$343.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $73.09 / $100.61	Professional		$46.53	$73.09	$100.61
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 $62.47 / $119.81 / $247.13	Professional		$62.47	$119.81	$247.13
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 $61.33 / $143.62 / $326.64	Professional		$61.33	$143.62	$326.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.84 / $170.96 / $533.52	Facility		$56.84	$170.96	$533.52
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $207.08 / $207.08 / $207.08	Facility	52	$207.08	$207.08	$207.08
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.77 / $51.77 / $51.77	Facility	53	$51.77	$51.77	$51.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $334.91 / $1,376.00	Professional		$153.96	$334.91	$1,376.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.52 / $57.86 / $93.02	Professional		$46.52	$57.86	$93.02
United Facility/Professional Facility Modifier Low / Median / High Price $690.86 / $1,291.00 / $2,193.00	Facility		$690.86	$1,291.00	$2,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $231.20 / $408.19	Professional		$144.34	$231.20	$408.19