Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $1,242.50 / $4,908.00	Facility		$234.00	$1,242.50	$4,908.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $251.27 / $964.96	Professional		$144.66	$251.27	$964.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.36 / $238.17 / $328.40	Professional		$156.36	$238.17	$328.40
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 $172.60 / $238.08 / $411.50	Professional		$172.60	$238.08	$411.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $279.85 / $453.80	Professional		$173.40	$279.85	$453.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $280.18 / $1,191.11	Facility		$110.46	$280.18	$1,191.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.50 / $348.71 / $2,106.71	Professional		$222.50	$348.71	$2,106.71
United Facility/Professional Facility Modifier Low / Median / High Price $295.06 / $395.00 / $1,300.00	Facility		$295.06	$395.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.81 / $282.06 / $488.04	Professional		$219.81	$282.06	$488.04