Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,659.59 / $5,623.41	Facility		$165.96	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $338.84 / $2,290.87	Professional		$91.20	$338.84	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $831.76	Professional		$83.18	$97.72	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $3,981.07	Facility		$676.08	$1,819.70	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $398.11 / $1,659.59	Professional		$93.33	$398.11	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $588.84 / $2,454.71	Professional	50	$141.25	$588.84	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $851.14 / $1,412.54	Professional		$83.18	$851.14	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $323.59 / $2,137.96	Professional		$102.33	$323.59	$2,137.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $758.58 / $2,137.96	Facility		$91.20	$758.58	$2,137.96
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	62	$245.47	$245.47	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $6,760.83	Professional		$1,148.15	$2,041.74	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $1,778.28	Facility		$338.84	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $891.25 / $2,137.96	Professional		$95.50	$891.25	$2,137.96