Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $2,754.23 / $5,754.40	Facility		$109.65	$2,754.23	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $457.09	Professional		$69.18	$138.04	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $154.88	Professional		$81.28	$117.49	$154.88
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 $79.43 / $109.65 / $190.55	Professional		$79.43	$109.65	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $158.49	Professional		$77.62	$123.03	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $218.78	Professional		$83.18	$131.83	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $10,471.29	Facility		$81.28	$165.96	$10,471.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $954.99	Professional		$104.71	$165.96	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,238.72	Facility		$851.14	$1,230.27	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $186.21	Professional		$72.44	$114.82	$186.21