Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,238.72 / $5,623.41	Facility		$169.82	$2,238.72	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $204.17 / $436.52	Professional		$87.10	$204.17	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $123.03	Professional		$70.79	$112.20	$123.03
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 $93.33 / $194.98 / $380.19	Professional		$93.33	$194.98	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $354.81	Professional		$87.10	$229.09	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $467.74	Professional		$114.82	$234.42	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $295.12 / $2,630.27	Facility		$54.95	$295.12	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $1,778.28	Professional		$218.78	$338.84	$1,778.28
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 $97.72 / $204.17 / $363.08	Professional		$97.72	$204.17	$363.08