Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,441.58 / $5,482.00 / $12,152.00	Facility		$1,441.58	$5,482.00	$12,152.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $906.26 / $906.26 / $1,055.43	Facility	54	$906.26	$906.26	$1,055.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.73 / $1,304.27 / $2,676.96	Professional		$907.73	$1,304.27	$2,676.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,107.24 / $1,403.31 / $1,842.87	Professional		$1,107.24	$1,403.31	$1,842.87
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 $956.60 / $1,275.45 / $2,003.84	Professional		$956.60	$1,275.45	$2,003.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $591.00 / $2,318.28	Facility		$591.00	$591.00	$2,318.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.50 / $1,415.22 / $2,453.08	Professional		$910.50	$1,415.22	$2,453.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,304.27 / $3,372.00 / $11,258.00	Facility		$1,304.27	$3,372.00	$11,258.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $2,136.04 / $7,881.75 / $7,881.75	Facility	54	$2,136.04	$7,881.75	$7,881.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,086.16 / $1,419.97 / $6,584.66	Professional		$1,086.16	$1,419.97	$6,584.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $4,000.00 / $11,258.00	Facility		$1,858.00	$4,000.00	$11,258.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,031.93 / $1,412.00 / $2,366.62	Professional		$1,031.93	$1,412.00	$2,366.62