Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $1,662.00 / $5,691.00	Facility		$46.07	$1,662.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $55.08 / $170.04	Professional		$28.88	$55.08	$170.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $37.82 / $40.99	Professional		$26.38	$37.82	$40.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,818.00 / $4,958.00	Facility		$862.00	$1,818.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $63.22 / $130.66	Professional		$35.70	$63.22	$130.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $62.53 / $148.41	Professional		$35.10	$62.53	$148.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $73.28 / $210.00	Facility		$31.96	$73.28	$210.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $99.87 / $1,650.00	Professional		$39.82	$99.87	$1,650.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $53.28 / $53.28	Professional		$53.28	$53.28	$53.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $85.53 / $179.29	Professional		$40.06	$85.53	$179.29