Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $2,507.00 / $7,843.00	Facility		$851.00	$2,507.00	$7,843.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $636.11 / $636.11 / $739.59	Facility	54	$636.11	$636.11	$739.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.08 / $848.14 / $1,717.00	Professional		$599.08	$848.14	$1,717.00
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $90.56 / $137.10 / $189.19	Professional	55	$90.56	$137.10	$189.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $763.06 / $763.06 / $1,030.13	Professional		$763.06	$763.06	$1,030.13
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 $660.00 / $856.08 / $1,299.43	Professional		$660.00	$856.08	$1,299.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.00 / $386.00 / $2,318.28	Facility		$386.00	$386.00	$2,318.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.71 / $920.60 / $1,780.93	Professional		$647.71	$920.60	$1,780.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.18 / $2,237.00 / $12,000.00	Facility		$853.18	$2,237.00	$12,000.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,481.76 / $7,881.75 / $7,881.75	Facility	54	$1,481.76	$7,881.75	$7,881.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.53 / $938.88 / $6,128.88	Professional		$652.53	$938.88	$6,128.88
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 $651.08 / $857.48 / $1,409.74	Professional		$651.08	$857.48	$1,409.74