Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,174.90 / $5,623.41	Facility		$85.11	$1,174.90	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $257.04	Professional		$72.44	$134.90	$257.04
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $69.18 / $109.65 / $190.55	Professional	52	$69.18	$109.65	$190.55
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $29.51 / $44.67 / $72.44	Professional	53	$29.51	$44.67	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $144.54	Professional		$70.79	$93.33	$144.54
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $17.38 / $17.38 / $17.38	Professional	52	$17.38	$17.38	$17.38
Ambetter Facility/Professional Professional Modifier 53 Low / Median / High Price $81.28 / $81.28 / $81.28	Professional	53	$81.28	$81.28	$81.28
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 $81.28 / $114.82 / $177.83	Professional		$81.28	$114.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $151.36	Professional		$57.54	$100.00	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $223.87	Professional		$72.44	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $144.54 / $912.01	Facility		$54.95	$144.54	$912.01
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	52	$229.09	$229.09	$229.09
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	53	$57.54	$57.54	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $758.58	Professional		$100.00	$158.49	$758.58
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 $72.44 / $107.15 / $173.78	Professional		$72.44	$107.15	$173.78