Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $640.64 / $5,389.00	Facility		$89.00	$640.64	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.86 / $113.38 / $409.56	Professional		$62.86	$113.38	$409.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.14 / $98.14 / $98.14	Professional		$98.14	$98.14	$98.14
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 $89.65 / $140.28 / $239.97	Professional		$89.65	$140.28	$239.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $147.04 / $259.58	Professional		$75.31	$147.04	$259.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $146.57 / $875.00	Facility		$55.00	$146.57	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $178.36 / $1,072.34	Professional		$112.07	$178.36	$1,072.34
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,300.00	Facility		$245.00	$875.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $147.58 / $236.73	Professional		$106.54	$147.58	$236.73