Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.56 / $355.68 / $3,542.45	Facility		$82.56	$355.68	$3,542.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $103.50 / $433.89	Professional		$49.12	$103.50	$433.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $73.83 / $90.57	Professional		$36.90	$73.83	$90.57
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 $67.31 / $112.25 / $198.59	Professional		$67.31	$112.25	$198.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $119.72 / $235.00	Professional		$59.29	$119.72	$235.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $123.34 / $875.00	Facility		$53.08	$123.34	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $148.13 / $918.11	Professional		$95.59	$148.13	$918.11
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 $90.94 / $122.10 / $199.35	Professional		$90.94	$122.10	$199.35