Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.34 / $1,184.00 / $5,560.00	Facility		$234.34	$1,184.00	$5,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $279.91 / $649.76	Professional		$170.38	$279.91	$649.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $158.77 / $367.52	Professional		$109.75	$158.77	$367.52
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 $195.00 / $271.57 / $464.59	Professional		$195.00	$271.57	$464.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $321.10 / $565.29	Professional		$203.98	$321.10	$565.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.07 / $319.37 / $1,261.00	Facility		$130.07	$319.37	$1,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.78 / $391.13 / $2,348.96	Professional		$251.78	$391.13	$2,348.96
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 $234.68 / $315.31 / $550.82	Professional		$234.68	$315.31	$550.82