Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.25 / $1,556.00 / $3,809.00	Facility		$369.25	$1,556.00	$3,809.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,477.00 / $1,477.00 / $1,477.00	Facility	22	$1,477.00	$1,477.00	$1,477.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.56 / $209.14 / $1,306.82	Facility	52	$115.56	$209.14	$1,306.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.22 / $60.22 / $97.29	Facility	53	$46.22	$60.22	$97.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.75 / $457.94 / $1,035.00	Professional		$245.75	$457.94	$1,035.00
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $49.15 / $84.58 / $134.54	Professional	53	$49.15	$84.58	$134.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $303.86 / $554.11	Professional		$210.75	$303.86	$554.11
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 $283.91 / $430.69 / $639.90	Professional		$283.91	$430.69	$639.90
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 $280.42 / $489.24 / $899.12	Professional		$280.42	$489.24	$899.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.42 / $513.90 / $1,462.80	Facility		$262.42	$513.90	$1,462.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $909.50 / $909.50 / $909.50	Facility	52	$909.50	$909.50	$909.50
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $227.37 / $227.37 / $227.37	Facility	53	$227.37	$227.37	$227.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $372.75 / $810.61 / $3,439.23	Professional		$372.75	$810.61	$3,439.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $1,895.00 / $2,783.00	Facility		$1,123.00	$1,895.00	$2,783.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.53 / $626.45 / $1,158.98	Professional		$411.53	$626.45	$1,158.98