Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.21 / $2,261.52 / $5,389.00	Facility		$229.21	$2,261.52	$5,389.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $874.82 / $874.82 / $874.82	Facility	52	$874.82	$874.82	$874.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $192.36 / $394.87	Professional		$80.12	$192.36	$394.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $109.09 / $120.81	Professional		$100.09	$109.09	$120.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,963.00 / $5,113.00	Facility		$862.00	$1,963.00	$5,113.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $98.05 / $175.66	Professional		$78.78	$98.05	$175.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $221.07 / $454.10	Professional		$103.57	$221.07	$454.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $192.36 / $493.70	Facility		$75.20	$192.36	$493.70
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $306.41 / $306.41 / $306.41	Facility	52	$306.41	$306.41	$306.41
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $76.59 / $76.59 / $76.59	Facility	53	$76.59	$76.59	$76.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.06 / $445.20 / $1,646.48	Professional		$267.06	$445.20	$1,646.48
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,410.00 / $2,675.00	Facility		$899.00	$1,410.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.58 / $376.74 / $545.59	Professional		$245.58	$376.74	$545.59