Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $370.56 / $5,691.00	Facility		$148.41	$370.56	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $285.88 / $653.16	Professional		$119.48	$285.88	$653.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $163.16 / $202.68	Professional		$145.97	$163.16	$202.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $164.06 / $264.99	Professional		$119.54	$164.06	$264.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $286.99 / $552.98	Professional		$151.16	$286.99	$552.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.45 / $306.99 / $727.92	Facility		$125.45	$306.99	$727.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $451.37 / $2,545.28	Professional		$279.98	$451.37	$2,545.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.50 / $357.75 / $634.20	Professional		$264.50	$357.75	$634.20