Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.56 / $2,076.00 / $5,687.00	Facility		$119.56	$2,076.00	$5,687.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $134.77 / $392.30	Professional		$79.70	$134.77	$392.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
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 $90.05 / $139.90 / $236.07	Professional		$90.05	$139.90	$236.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $135.07 / $209.85 / $354.10	Professional	50	$135.07	$209.85	$354.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $167.70 / $273.20	Professional		$95.52	$167.70	$273.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $169.54 / $2,442.00	Facility		$60.71	$169.54	$2,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.99 / $198.30 / $3,593.56	Professional		$131.99	$198.30	$3,593.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $2,261.00 / $3,074.00	Facility		$1,185.00	$2,261.00	$3,074.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $165.22 / $282.31	Professional		$129.33	$165.22	$282.31