Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $4,931.00 / $12,154.00	Facility		$1,547.00	$4,931.00	$12,154.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $643.91 / $643.91 / $748.67	Facility	54	$643.91	$643.91	$748.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $925.18 / $1,337.84	Professional		$616.03	$925.18	$1,337.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,011.08 / $1,011.08 / $1,209.13	Professional		$1,011.08	$1,011.08	$1,209.13
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 $725.00 / $863.50 / $1,350.94	Professional		$725.00	$863.50	$1,350.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $730.00 / $1,344.16	Facility		$730.00	$730.00	$1,344.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.97 / $939.51 / $1,736.42	Professional		$656.97	$939.51	$1,736.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.91 / $2,237.00 / $26,542.00	Facility		$864.91	$2,237.00	$26,542.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,495.91 / $4,569.92 / $4,569.92	Facility	54	$1,495.91	$4,569.92	$4,569.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.64 / $981.31 / $6,198.56	Professional		$678.64	$981.31	$6,198.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,829.00	Facility		$1,644.00	$2,874.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.64 / $895.11 / $1,595.64	Professional		$678.64	$895.11	$1,595.64