Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,238.72 / $6,456.54	Facility		$112.20	$2,238.72	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $549.54	Professional		$79.43	$151.36	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $169.82	Professional		$83.18	$107.15	$169.82
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 $79.43 / $107.15 / $199.53	Professional		$79.43	$107.15	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $165.96	Professional		$75.86	$128.82	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $239.88	Professional		$85.11	$138.04	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $891.25	Facility		$54.95	$141.25	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $1,000.00	Professional		$112.20	$173.78	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $691.83 / $1,380.38	Facility		$151.36	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $117.49 / $186.21	Professional		$74.13	$117.49	$186.21