Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $3,131.00 / $12,154.00	Facility		$43.76	$3,131.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $104.93 / $501.00	Professional		$42.30	$104.93	$501.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $26.98 / $106.63	Professional		$26.98	$26.98	$106.63
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 $53.83 / $87.32 / $162.65	Professional		$53.83	$87.32	$162.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.73 / $130.97 / $243.69	Professional	50	$80.73	$130.97	$243.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $107.92 / $208.33	Professional		$49.99	$107.92	$208.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $111.48 / $875.00	Facility		$45.82	$111.48	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.97 / $154.24 / $913.04	Professional		$88.97	$154.24	$913.04
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $126.31 / $221.36	Professional		$86.06	$126.31	$221.36