Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.16 / $3,232.00 / $7,365.00	Facility		$189.16	$3,232.00	$7,365.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.96 / $19.82 / $38.96	Facility	53	$13.96	$19.82	$38.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $166.70 / $455.82	Professional		$79.81	$166.70	$455.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $100.16 / $119.74	Professional		$69.91	$100.16	$119.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $125.84 / $209.20	Professional		$88.05	$125.84	$209.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.11 / $28.11 / $28.11	Facility	53	$28.11	$28.11	$28.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.86 / $184.82 / $394.02	Professional		$93.86	$184.82	$394.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $189.16 / $440.92	Facility		$78.29	$189.16	$440.92
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.79 / $74.79 / $74.79	Facility	53	$74.79	$74.79	$74.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $367.71 / $1,553.44	Professional		$204.27	$367.71	$1,553.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $304.16 / $440.96	Professional		$204.27	$304.16	$440.96