Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.31 / $3,907.00 / $8,710.00	Facility		$690.31	$3,907.00	$8,710.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $367.25 / $427.36 / $564.27	Facility	54	$367.25	$427.36	$564.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $570.89 / $1,088.73	Professional		$387.37	$570.89	$1,088.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.14 / $672.45 / $744.96	Professional		$590.14	$672.45	$744.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $543.44 / $795.87	Professional		$395.31	$543.44	$795.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.00 / $831.00 / $1,135.71	Facility		$831.00	$831.00	$1,135.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $664.13 / $1,334.92	Professional		$437.37	$664.13	$1,334.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.12 / $1,340.68 / $26,542.00	Facility		$528.12	$1,340.68	$26,542.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,513.22 / $1,513.22 / $1,513.22	Facility	54	$1,513.22	$1,513.22	$1,513.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.03 / $862.34 / $4,981.52	Professional		$580.03	$862.34	$4,981.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.03 / $761.39 / $1,322.08	Professional		$580.03	$761.39	$1,322.08