Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.83 / $1,098.00 / $4,747.00	Facility		$236.83	$1,098.00	$4,747.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.18 / $119.33 / $237.09	Facility	52	$91.18	$119.33	$237.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.47 / $47.73 / $94.83	Facility	53	$36.47	$47.73	$94.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.36 / $408.08 / $751.70	Professional		$182.36	$408.08	$751.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $124.44 / $283.60	Professional		$108.30	$124.44	$283.60
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 $221.13 / $292.02 / $455.64	Professional		$221.13	$292.02	$455.64
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 $220.85 / $426.51 / $795.78	Professional		$220.85	$426.51	$795.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.16 / $457.37 / $1,273.24	Facility		$202.16	$457.37	$1,273.24
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $721.81 / $721.81 / $721.81	Facility	52	$721.81	$721.81	$721.81
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $180.45 / $180.45 / $180.45	Facility	53	$180.45	$180.45	$180.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $814.30 / $3,278.48	Professional		$427.62	$814.30	$3,278.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $147.72 / $164.61	Professional		$147.72	$147.72	$164.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $2,259.00 / $2,783.00	Facility		$1,123.00	$2,259.00	$2,783.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.87 / $604.33 / $974.16	Professional		$401.87	$604.33	$974.16