Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.70 / $3,213.00 / $8,297.78	Facility		$868.70	$3,213.00	$8,297.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.73 / $770.05 / $1,431.01	Professional		$196.73	$770.05	$1,431.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.32 / $233.10 / $238.87	Professional		$221.32	$233.10	$238.87
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 $221.00 / $484.23 / $1,550.23	Professional		$221.00	$484.23	$1,550.23
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 $222.91 / $499.90 / $1,637.82	Professional		$222.91	$499.90	$1,637.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.18 / $770.06 / $1,851.93	Facility		$194.18	$770.06	$1,851.93
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $727.83 / $727.83 / $727.83	Facility	52	$727.83	$727.83	$727.83
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.96 / $181.96 / $181.96	Facility	53	$181.96	$181.96	$181.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $960.12 / $1,783.23 / $6,044.48	Professional		$960.12	$1,783.23	$6,044.48
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 $865.61 / $1,329.38 / $2,434.55	Professional		$865.61	$1,329.38	$2,434.55