Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.04 / $1,400.14 / $4,669.91	Facility		$147.04	$1,400.14	$4,669.91
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $16.37 / $23.76 / $52.53	Facility	53	$16.37	$23.76	$52.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $178.65 / $492.08	Professional		$91.34	$178.65	$492.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $144.00 / $354.01	Professional		$117.65	$144.00	$354.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $110.72 / $189.11	Professional		$91.37	$110.72	$189.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $221.65 / $461.13	Professional		$109.13	$221.65	$461.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.82 / $260.69 / $1,120.00	Facility		$95.82	$260.69	$1,120.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $89.92 / $89.92 / $89.92	Facility	53	$89.92	$89.92	$89.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.52 / $413.19 / $1,921.76	Professional		$262.52	$413.19	$1,921.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $407.11 / $407.11	Professional		$407.11	$407.11	$407.11
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $357.17 / $543.79	Professional		$240.17	$357.17	$543.79