Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,570.40 / $7,413.10	Facility		$218.78	$2,570.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $331.13	Professional		$107.15	$177.83	$331.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $549.54 / $549.54 / $549.54	Professional	50	$549.54	$549.54	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
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 $97.72 / $123.03 / $199.53	Professional		$97.72	$123.03	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $181.97 / $295.12	Professional	50	$147.91	$181.97	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $257.04	Professional		$104.71	$186.21	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $380.19	Professional		$114.82	$204.17	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $223.87 / $912.01	Facility		$54.95	$223.87	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $1,380.38	Professional		$177.83	$288.40	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $1,412.54	Facility		$177.83	$691.83	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $316.23	Professional		$109.65	$186.21	$316.23