Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,162.28 / $5,754.40	Facility		$190.55	$3,162.28	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $213.80 / $398.11	Professional		$87.10	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $208.93	Professional		$162.18	$208.93	$208.93
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 / $208.93 / $416.87	Professional		$93.33	$208.93	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $245.47 / $389.05	Professional		$89.13	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $239.88 / $524.81	Professional		$117.49	$239.88	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $302.00 / $1,905.46	Facility		$54.95	$302.00	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,905.46	Professional		$245.47	$371.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,047.13 / $2,238.72	Facility		$537.03	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $229.09 / $416.87	Professional		$100.00	$229.09	$416.87