Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,818.38 / $5,623.41	Facility		$371.54	$2,818.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $1,819.70	Professional		$208.93	$389.05	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $295.12	Professional		$194.98	$239.88	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $3,235.94	Facility		$758.58	$1,548.82	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $691.83 / $1,698.24	Professional		$234.42	$691.83	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,148.15 / $1,737.80	Professional		$208.93	$1,148.15	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $1,949.84	Professional		$251.19	$512.86	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,288.25 / $3,801.89	Facility		$54.95	$1,288.25	$3,801.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	52	$776.25	$776.25	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $9,120.11	Professional		$977.24	$1,584.89	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $5,248.07	Facility		$1,819.70	$2,818.38	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $891.25 / $1,778.28	Professional		$251.19	$891.25	$1,778.28