Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.03 / $1,487.45 / $5,809.80	Facility		$86.03	$1,487.45	$5,809.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $124.52 / $520.00	Professional		$57.59	$124.52	$520.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.18 / $127.18 / $127.18	Professional		$127.18	$127.18	$127.18
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 $81.00 / $115.47 / $177.70	Professional		$81.00	$115.47	$177.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $119.72 / $212.36	Professional		$71.55	$119.72	$212.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $116.82 / $831.22	Facility		$55.00	$116.82	$831.22
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $28.61 / $28.61 / $28.61	Facility	AS	$28.61	$28.61	$28.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $141.38 / $743.20	Professional		$96.15	$141.38	$743.20
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 $90.81 / $128.19 / $227.02	Professional		$90.81	$128.19	$227.02