Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.75 / $9,354.00 / $15,879.00	Facility		$1,900.75	$9,354.00	$15,879.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $285.26 / $300.32 / $353.72	Facility	52	$285.26	$300.32	$353.72
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $114.10 / $120.13 / $141.49	Facility	53	$114.10	$120.13	$141.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $703.61 / $1,702.00	Professional		$530.37	$703.61	$1,702.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $722.01 / $722.01 / $722.01	Professional		$722.01	$722.01	$722.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,107.00 / $12,991.00 / $20,564.00	Facility		$8,107.00	$12,991.00	$20,564.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $709.32 / $1,114.03	Professional		$568.26	$709.32	$1,114.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,059.00 / $18,730.00 / $27,391.00	Facility		$9,059.00	$18,730.00	$27,391.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.70 / $894.82 / $1,320.61	Professional		$582.70	$894.82	$1,320.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $593.55 / $1,372.04 / $32,404.00	Facility		$593.55	$1,372.04	$32,404.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,018.95 / $30,081.88 / $30,081.88	Facility	52	$1,018.95	$30,081.88	$30,081.88
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $254.74 / $7,520.47 / $7,520.47	Facility	53	$254.74	$7,520.47	$7,520.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $618.58 / $1,043.49 / $3,571.80	Professional		$618.58	$1,043.49	$3,571.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $14,326.00 / $32,404.00	Facility		$2,426.00	$14,326.00	$32,404.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.72 / $974.38 / $1,612.45	Professional		$556.72	$974.38	$1,612.45