Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.83 / $1,904.50 / $5,565.56	Facility		$526.83	$1,904.50	$5,565.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $738.50 / $1,559.50 / $1,841.65	Facility	50	$738.50	$1,559.50	$1,841.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.95 / $418.90 / $1,063.84	Professional		$193.95	$418.90	$1,063.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $287.35 / $345.81	Professional		$245.04	$287.35	$345.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.00 / $514.80 / $780.29	Professional		$428.00	$514.80	$780.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.59 / $632.25 / $1,129.79	Professional		$404.59	$632.25	$1,129.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $414.36 / $846.18 / $12,067.29	Facility		$414.36	$846.18	$12,067.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $687.51 / $3,301.00	Professional		$399.00	$687.51	$3,301.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.59 / $572.20 / $1,004.56	Professional		$389.59	$572.20	$1,004.56