Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,174.90 / $7,762.47	Facility		$125.89	$1,174.90	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $218.78 / $446.68	Professional		$74.13	$218.78	$446.68
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $45.71 / $87.10 / $363.08	Professional	52	$45.71	$87.10	$363.08
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $34.67 / $34.67 / $134.90	Professional	53	$34.67	$34.67	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $190.55 / $275.42	Professional		$69.18	$190.55	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $6,025.60	Facility		$758.58	$1,548.82	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $338.84	Professional		$97.72	$199.53	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $208.93 / $316.23	Professional		$74.13	$208.93	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $223.87 / $416.87	Professional		$93.33	$223.87	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $371.54 / $12,022.64	Facility		$102.33	$371.54	$12,022.64
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	52	$288.40	$288.40	$288.40
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	53	$72.44	$72.44	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $1,778.28	Professional		$213.80	$371.54	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,047.13 / $2,187.76	Facility		$512.86	$1,047.13	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $371.54	Professional		$95.50	$213.80	$371.54