Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,908.00 / $9,823.00	Facility		$1,760.00	$4,908.00	$9,823.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $479.29 / $479.29 / $557.63	Facility	54	$479.29	$479.29	$557.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.04 / $748.60 / $1,089.20	Professional		$639.04	$748.60	$1,089.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $552.13 / $552.13 / $915.61	Professional		$552.13	$552.13	$915.61
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 $894.71 / $1,058.07 / $1,710.63	Professional		$894.71	$1,058.07	$1,710.63
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 $569.01 / $1,176.57 / $2,501.98	Professional		$569.01	$1,176.57	$2,501.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,712.65 / $11,258.00	Facility		$55.00	$1,712.65	$11,258.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,129.85 / $7,881.75 / $7,881.75	Facility	54	$1,129.85	$7,881.75	$7,881.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.83 / $1,225.69 / $4,000.66	Professional		$888.83	$1,225.69	$4,000.66
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 $869.51 / $1,078.65 / $1,737.72	Professional		$869.51	$1,078.65	$1,737.72