Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,659.59 / $5,623.41	Facility		$275.42	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $776.25	Professional		$181.97	$316.23	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $208.93 / $309.03 / $537.03	Professional		$208.93	$309.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $436.52	Professional		$190.55	$354.81	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $616.60	Professional		$218.78	$371.54	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $354.81 / $1,288.25	Facility		$100.00	$354.81	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $2,691.53	Professional		$288.40	$467.74	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $1,412.54	Facility		$302.00	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $501.19	Professional		$190.55	$309.03	$501.19