Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.07 / $1,717.00 / $5,691.00	Facility		$124.07	$1,717.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $135.50 / $549.69	Professional		$77.68	$135.50	$549.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $92.77 / $132.87	Professional		$63.18	$92.77	$132.87
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 $98.57 / $129.19 / $223.24	Professional		$98.57	$129.19	$223.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $159.16 / $285.04	Professional		$106.23	$159.16	$285.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.52 / $180.45 / $2,576.36	Facility		$97.52	$180.45	$2,576.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $196.03 / $1,164.40	Professional		$125.59	$196.03	$1,164.40
United Facility/Professional Facility Modifier Low / Median / High Price $172.29 / $747.00 / $1,300.00	Facility		$172.29	$747.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $156.99 / $276.45	Professional		$117.74	$156.99	$276.45