Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $489.78	Facility		$66.07	$151.36	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $257.04	Professional		$47.86	$93.33	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $83.18	Professional		$45.71	$70.79	$83.18
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 $45.71 / $63.10 / $93.33	Professional		$45.71	$63.10	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $141.25	Professional		$54.95	$100.00	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $169.82	Professional		$54.95	$93.33	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $501.19	Facility		$51.29	$93.33	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $676.08	Professional		$79.43	$123.03	$676.08
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 $47.86 / $79.43 / $131.83	Professional		$47.86	$79.43	$131.83