Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $522.51 / $4,791.31	Facility		$81.81	$522.51	$4,791.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $116.35 / $388.00	Professional		$50.11	$116.35	$388.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $142.77 / $142.77	Professional		$142.77	$142.77	$142.77
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 $55.26 / $87.48 / $152.05	Professional		$55.26	$87.48	$152.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $105.12 / $187.41	Professional		$55.13	$105.12	$187.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $116.36 / $875.00	Facility		$54.55	$116.36	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $138.65 / $860.88	Professional		$89.63	$138.65	$860.88
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 $58.21 / $111.73 / $187.59	Professional		$58.21	$111.73	$187.59