Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.00 / $4,067.20 / $8,000.00	Facility		$365.00	$4,067.20	$8,000.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.41 / $139.41 / $643.41	Facility	52	$88.41	$139.41	$643.41
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.36 / $55.77 / $257.36	Facility	53	$35.36	$55.77	$257.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $368.93 / $1,286.82	Professional		$178.96	$368.93	$1,286.82
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $42.30 / $105.84 / $269.45	Professional	53	$42.30	$105.84	$269.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.47 / $298.13 / $346.98	Professional		$224.47	$298.13	$346.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $2,610.00 / $6,337.00	Facility		$862.00	$2,610.00	$6,337.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $424.00 / $1,881.51	Professional		$267.06	$424.00	$1,881.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,103.00 / $9,848.00 / $11,191.00	Facility		$7,103.00	$9,848.00	$11,191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.68 / $502.64 / $2,620.44	Professional		$237.68	$502.64	$2,620.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $224.23 / $1,134.58 / $6,038.00	Facility		$224.23	$1,134.58	$6,038.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $840.46 / $840.46 / $840.46	Facility	52	$840.46	$840.46	$840.46
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $210.11 / $210.11 / $210.11	Facility	53	$210.11	$210.11	$210.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.79 / $2,381.53 / $9,714.64	Professional		$434.79	$2,381.53	$9,714.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,133.00 / $6,038.00	Facility		$1,694.00	$3,133.00	$6,038.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.03 / $1,790.88 / $2,786.40	Professional		$401.03	$1,790.88	$2,786.40