Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.37 / $2,832.00 / $7,365.00	Facility		$161.37	$2,832.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.27 / $166.24 / $353.65	Professional		$103.27	$166.24	$353.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $158.84 / $265.14	Professional		$151.28	$158.84	$265.14
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 $124.74 / $169.76 / $281.55	Professional		$124.74	$169.76	$281.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $192.66 / $344.57	Professional		$122.94	$192.66	$344.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $197.64 / $875.00	Facility		$78.83	$197.64	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $242.24 / $1,412.72	Professional		$158.51	$242.24	$1,412.72
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 $149.69 / $197.76 / $363.09	Professional		$149.69	$197.76	$363.09