Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.83 / $2,488.00 / $5,737.55	Facility		$283.83	$2,488.00	$5,737.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.18 / $294.39 / $1,287.88	Professional		$212.18	$294.39	$1,287.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $204.65 / $273.64	Professional		$178.33	$204.65	$273.64
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 $214.60 / $284.49 / $467.54	Professional		$214.60	$284.49	$467.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.22 / $345.85 / $597.85	Professional		$233.22	$345.85	$597.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.75 / $409.22 / $5,105.88	Facility		$220.75	$409.22	$5,105.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $409.16 / $2,360.71	Professional		$261.43	$409.16	$2,360.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,261.00 / $3,071.00	Facility		$1,216.00	$2,261.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.43 / $337.15 / $588.89	Professional		$261.43	$337.15	$588.89