Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $1,174.90 / $5,623.41	Facility		$16.22	$1,174.90	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $125.89	Professional		$12.88	$30.90	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.54 / $36.31	Professional		$23.44	$27.54	$36.31
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 $15.49 / $28.18 / $48.98	Professional		$15.49	$28.18	$48.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.91 / $42.66 / $74.13	Professional	50	$22.91	$42.66	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $41.69	Professional		$13.49	$32.36	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.90 / $58.88	Professional		$14.79	$30.90	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $47.86 / $870.96	Facility		$15.49	$47.86	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $245.47	Professional		$26.92	$42.66	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $630.96 / $1,380.38	Facility		$45.71	$630.96	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $45.71	Professional		$13.49	$26.92	$45.71