Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $2,507.00 / $9,304.00	Facility		$33.56	$2,507.00	$9,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $70.33 / $205.33	Professional		$29.94	$70.33	$205.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $91.61 / $91.61	Professional		$91.61	$91.61	$91.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.51 / $63.77 / $128.88	Professional		$38.51	$63.77	$128.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.76 / $95.65 / $190.81	Professional	50	$57.76	$95.65	$190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $83.20 / $169.04	Professional		$38.38	$83.20	$169.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $90.36 / $875.00	Facility		$35.17	$90.36	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $131.13 / $784.32	Professional		$68.22	$131.13	$784.32
United Facility/Professional Facility Modifier Low / Median / High Price $69.01 / $760.00 / $1,300.00	Facility		$69.01	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $108.04 / $188.46	Professional		$70.14	$108.04	$188.46