Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $851.14 / $5,623.41	Facility		$45.71	$851.14	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $177.83	Professional		$28.84	$64.57	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $74.13	Professional		$25.70	$36.31	$74.13
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 $35.48 / $57.54 / $131.83	Professional		$35.48	$57.54	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $112.20	Professional		$29.51	$52.48	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $151.36	Professional		$36.31	$61.66	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $74.13 / $724.44	Facility		$33.11	$74.13	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $95.50 / $1,659.59	Professional		$41.69	$95.50	$1,659.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $691.83 / $1,412.54	Facility		$295.12	$691.83	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $131.83	Professional		$34.67	$61.66	$131.83