Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $186.21 / $707.95	Facility		$57.54	$186.21	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $117.49 / $389.05	Professional		$48.98	$117.49	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $93.33	Professional		$27.54	$51.29	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $104.71	Professional		$50.12	$70.79	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $93.33 / $131.83	Professional		$39.81	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $162.18	Professional		$48.98	$91.20	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $478.63	Facility		$45.71	$91.20	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $616.60	Professional		$77.62	$123.03	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $691.83 / $1,380.38	Facility		$120.23	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $128.82	Professional		$43.65	$77.62	$128.82