Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.21 / $3,067.00 / $6,834.00	Facility		$390.21	$3,067.00	$6,834.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $151.12 / $151.12 / $196.62	Facility	52	$151.12	$151.12	$196.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $60.45 / $60.45 / $78.65	Facility	53	$60.45	$60.45	$78.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.24 / $449.78 / $769.26	Professional		$302.24	$449.78	$769.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $364.67 / $453.74	Professional		$283.63	$364.67	$453.74
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 $321.69 / $405.44 / $654.35	Professional		$321.69	$405.44	$654.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,437.00 / $2,769.00 / $4,641.00	Facility		$2,437.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.04 / $432.56 / $723.76	Professional		$311.04	$432.56	$723.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.24 / $500.67 / $2,097.00	Facility		$302.24	$500.67	$2,097.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $670.91 / $6,012.68 / $6,012.68	Facility	52	$670.91	$6,012.68	$6,012.68
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $167.73 / $1,503.17 / $1,503.17	Facility	53	$167.73	$1,503.17	$1,503.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.56 / $555.77 / $2,445.36	Professional		$335.56	$555.77	$2,445.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,332.00 / $3,041.00	Facility		$1,300.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $488.50 / $787.91	Professional		$317.00	$488.50	$787.91