Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $2,330.00 / $5,691.00	Facility		$182.50	$2,330.00	$5,691.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.60 / $69.54 / $263.35	Facility	52	$53.60	$69.54	$263.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $327.56 / $598.25	Professional		$113.39	$327.56	$598.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $145.50 / $165.80	Professional		$100.82	$145.50	$165.80
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 $136.76 / $246.00 / $745.36	Professional		$136.76	$246.00	$745.36
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 $129.28 / $259.06 / $889.61	Professional		$129.28	$259.06	$889.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.31 / $435.36 / $1,380.00	Facility		$118.31	$435.36	$1,380.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $422.66 / $422.66 / $422.66	Facility	52	$422.66	$422.66	$422.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $1,009.10 / $3,618.00	Professional		$228.10	$1,009.10	$3,618.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,332.00 / $3,041.00	Facility		$1,380.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.87 / $635.26 / $1,169.55	Professional		$227.87	$635.26	$1,169.55