Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,090.30 / $5,623.41	Facility		$426.58	$3,090.30	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $371.54 / $1,230.27	Professional		$144.54	$371.54	$1,230.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $436.52	Professional		$134.90	$204.17	$436.52
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 $165.96 / $457.09 / $851.14	Professional		$165.96	$457.09	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $467.74 / $812.83	Professional		$144.54	$467.74	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $398.11 / $1,148.15	Professional		$181.97	$398.11	$1,148.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $588.84 / $2,630.27	Facility		$54.95	$588.84	$2,630.27
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	53	$144.54	$144.54	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $3,715.35	Professional		$562.34	$870.96	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $3,019.95	Facility		$1,071.52	$1,318.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $467.74 / $933.25	Professional		$169.82	$467.74	$933.25