Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $1,819.70 / $5,754.40	Facility		$25.12	$1,819.70	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $165.96	Professional		$15.85	$35.48	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
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 $19.95 / $34.67 / $57.54	Professional		$19.95	$34.67	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $44.67	Professional		$15.85	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $36.31 / $63.10	Professional		$17.78	$36.31	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $51.29 / $870.96	Facility		$18.62	$51.29	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $245.47	Professional		$29.51	$46.77	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $1,778.28	Facility		$338.84	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.90 / $52.48	Professional		$16.60	$30.90	$52.48