Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.10 / $2,207.26 / $5,407.13	Facility		$165.10	$2,207.26	$5,407.13
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $48.46 / $135.50 / $1,046.50	Facility	52	$48.46	$135.50	$1,046.50
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.38 / $25.32 / $62.93	Facility	53	$19.38	$25.32	$62.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $236.40 / $476.83	Professional		$96.92	$236.40	$476.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $135.51 / $150.07	Professional		$98.03	$135.51	$150.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,785.00 / $4,773.00	Facility		$862.00	$1,785.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.99 / $235.84 / $453.83	Professional		$100.99	$235.84	$453.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $255.17 / $537.37	Professional		$116.26	$255.17	$537.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $276.27 / $739.83	Facility		$100.38	$276.27	$739.83
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $381.48 / $381.48 / $381.48	Facility	52	$381.48	$381.48	$381.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $95.37 / $95.37 / $95.37	Facility	53	$95.37	$95.37	$95.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $300.43 / $560.26 / $2,156.80	Professional		$300.43	$560.26	$2,156.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $133.19 / $133.19	Professional		$133.19	$133.19	$133.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,332.00 / $3,071.00	Facility		$1,300.00	$2,332.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $426.60 / $753.14	Professional		$282.02	$426.60	$753.14