Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $549.54 / $5,623.41	Facility		$74.13	$549.54	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $275.42	Professional		$66.07	$141.25	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $181.97	Professional		$52.48	$102.33	$181.97
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 $79.43 / $125.89 / $194.98	Professional		$79.43	$125.89	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $186.21	Professional		$63.10	$123.03	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $295.12	Professional		$74.13	$138.04	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $912.01	Facility		$54.95	$165.96	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $954.99	Professional		$123.03	$190.55	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $691.83 / $1,380.38	Facility		$147.91	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $213.80	Professional		$75.86	$123.03	$213.80