Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $354.81 / $2,398.83	Facility		$57.54	$354.81	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $112.20 / $389.05	Professional		$43.65	$112.20	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
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 $53.70 / $102.33 / $173.78	Professional		$53.70	$102.33	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $144.54	Professional		$45.71	$109.65	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $95.50 / $199.53	Professional		$45.71	$95.50	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $123.03 / $870.96	Facility		$45.71	$123.03	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $870.96	Professional		$81.28	$131.83	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $691.83 / $1,380.38	Facility		$151.36	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $83.18 / $154.88	Professional		$42.66	$83.18	$154.88