Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,570.40 / $7,413.10	Facility		$812.83	$2,570.40	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $208.93	Professional		$41.69	$66.07	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.90 / $69.18	Professional		$23.99	$38.90	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,041.74 / $5,248.07	Facility		$676.08	$2,041.74	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $109.65	Professional		$47.86	$67.61	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $67.61	Professional		$40.74	$45.71	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $107.15	Professional		$42.66	$70.79	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $1,288.25	Facility		$52.48	$104.71	$1,288.25
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $22.39 / $50.12 / $50.12	Facility	53	$22.39	$50.12	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $537.03	Professional		$41.69	$79.43	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $3,235.94	Facility		$338.84	$707.95	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $114.82	Professional		$42.66	$70.79	$114.82