Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.70 / $2,330.00 / $7,365.00	Facility		$123.70	$2,330.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $158.62 / $543.00	Professional		$87.60	$158.62	$543.00
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.57 / $211.02 / $211.02	Professional		$107.57	$211.02	$211.02
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 $104.52 / $159.59 / $278.55	Professional		$104.52	$159.59	$278.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $180.51 / $306.00	Professional		$101.49	$180.51	$306.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $179.89 / $884.00	Facility		$64.66	$179.89	$884.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.43 / $213.10 / $1,248.48	Professional		$137.43	$213.10	$1,248.48
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 $121.26 / $170.50 / $284.43	Professional		$121.26	$170.50	$284.43