Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.80 / $3,434.00 / $7,365.00	Facility		$442.80	$3,434.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,662.50 / $4,536.00 / $4,699.50	Facility	50	$2,662.50	$4,536.00	$4,699.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $137.00 / $2,928.07 / $2,928.07	Facility	52	$137.00	$2,928.07	$2,928.07
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $54.80 / $54.80 / $72.45	Facility	53	$54.80	$54.80	$72.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.99 / $343.56 / $909.86	Professional		$273.99	$343.56	$909.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.74 / $428.66 / $428.66	Professional		$329.74	$428.66	$428.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $408.00 / $597.52	Professional		$312.25	$408.00	$597.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $440.30 / $792.00	Professional		$266.25	$440.30	$792.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.69 / $663.06 / $10,868.80	Facility		$287.69	$663.06	$10,868.80
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $613.42 / $7,119.48 / $7,119.48	Facility	52	$613.42	$7,119.48	$7,119.48
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $153.36 / $1,779.87 / $1,779.87	Facility	53	$153.36	$1,779.87	$1,779.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $345.72 / $547.96 / $2,853.12	Professional		$345.72	$547.96	$2,853.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $431.39 / $796.74	Professional		$323.20	$431.39	$796.74