Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $1,778.28 / $7,413.10	Facility		$44.67	$1,778.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $169.82	Professional		$41.69	$74.13	$169.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $28.84 / $28.84 / $28.84	Professional	53	$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $104.71	Professional		$51.29	$85.11	$104.71
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $23.44 / $23.44 / $23.44	Professional	52	$23.44	$23.44	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $117.49	Professional		$53.70	$74.13	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $109.65	Professional		$42.66	$70.79	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $144.54	Professional		$51.29	$89.13	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $912.01	Facility		$51.29	$100.00	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $549.54	Professional		$70.79	$117.49	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $691.83 / $1,380.38	Facility		$151.36	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $120.23	Professional		$50.12	$74.13	$120.23