Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,659.59 / $5,623.41	Facility		$144.54	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $426.58	Professional		$102.33	$169.82	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $158.49	Professional		$97.72	$128.82	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $251.19	Professional		$112.20	$147.91	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $223.87	Professional		$117.49	$173.78	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $302.00	Professional		$123.03	$186.21	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $177.83 / $2,570.40	Facility		$72.44	$177.83	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $1,258.93	Professional		$138.04	$218.78	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $3,019.95	Facility		$1,071.52	$1,318.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $263.03	Professional		$104.71	$154.88	$263.03