Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.17 / $1,990.00 / $7,365.00	Facility		$63.17	$1,990.00	$7,365.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $20.05 / $25.92 / $120.75	Facility	52	$20.05	$25.92	$120.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $191.48 / $646.00	Professional		$44.20	$191.48	$646.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $53.18 / $55.20	Professional		$37.28	$53.18	$55.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,818.00 / $4,958.00	Facility		$862.00	$1,818.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $94.16 / $342.19	Professional		$47.00	$94.16	$342.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $149.59 / $396.25	Professional		$48.21	$149.59	$396.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $205.45 / $488.22	Facility		$47.86	$205.45	$488.22
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.21 / $358.79 / $2,111.16	Professional		$212.21	$358.79	$2,111.16
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.38 / $266.94 / $440.63	Professional		$209.38	$266.94	$440.63