Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $933.25 / $5,623.41	Facility		$95.50	$933.25	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $616.60	Professional		$87.10	$186.21	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $151.36	Professional		$72.44	$93.33	$151.36
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 $100.00 / $134.90 / $204.17	Professional		$100.00	$134.90	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $181.97	Professional		$66.07	$114.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $138.04 / $251.19	Professional		$81.28	$138.04	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $144.54 / $954.99	Facility		$54.95	$144.54	$954.99
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $33.11 / $33.11 / $33.11	Facility	AS	$33.11	$33.11	$33.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $812.83	Professional		$109.65	$173.78	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $1,479.11	Facility		$295.12	$707.95	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $208.93	Professional		$74.13	$120.23	$208.93