Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,698.24 / $5,623.41	Facility		$165.96	$1,698.24	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $630.96	Professional		$131.83	$181.97	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $177.83	Professional		$151.36	$151.36	$177.83
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 $131.83 / $162.18 / $257.04	Professional		$131.83	$162.18	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $251.19	Professional		$147.91	$181.97	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $316.23	Professional		$151.36	$199.53	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $724.44	Facility		$109.65	$204.17	$724.44
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	54	$478.63	$478.63	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $1,258.93	Professional		$151.36	$239.88	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $691.83 / $1,412.54	Facility		$181.97	$691.83	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $288.40	Professional		$131.83	$177.83	$288.40