Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.01 / $1,491.00 / $4,261.00	Facility		$100.01	$1,491.00	$4,261.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $32.79 / $42.96 / $152.72	Facility	52	$32.79	$42.96	$152.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.12 / $17.18 / $61.09	Facility	53	$13.12	$17.18	$61.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $170.00 / $470.15	Professional		$67.84	$170.00	$470.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.07 / $62.51 / $113.45	Professional		$30.07	$62.51	$113.45
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 $80.44 / $151.50 / $381.22	Professional		$80.44	$151.50	$381.22
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 $77.63 / $181.29 / $460.84	Professional		$77.63	$181.29	$460.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $242.02 / $721.76	Facility		$72.16	$242.02	$721.76
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $262.79 / $262.79 / $262.79	Facility	52	$262.79	$262.79	$262.79
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $65.70 / $65.70 / $65.70	Facility	53	$65.70	$65.70	$65.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.71 / $525.99 / $2,112.88	Professional		$225.71	$525.99	$2,112.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $118.78 / $195.50	Professional		$91.05	$118.78	$195.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $1,751.00 / $2,643.00	Facility		$1,103.00	$1,751.00	$2,643.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.46 / $342.76 / $678.26	Professional		$216.46	$342.76	$678.26