Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,290.87 / $5,623.41	Facility		$208.93	$2,290.87	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $660.69	Professional		$154.88	$239.88	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $177.83	Professional		$72.44	$72.44	$177.83
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 $162.18 / $223.87 / $389.05	Professional		$162.18	$223.87	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $354.81	Professional		$177.83	$281.84	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $457.09	Professional		$181.97	$269.15	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $346.74 / $16,218.10	Facility		$169.82	$346.74	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $1,949.84	Professional		$213.80	$338.84	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $4,677.35	Facility		$1,819.70	$2,398.83	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $398.11	Professional		$158.49	$234.42	$398.11