Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,511.89 / $7,413.10	Facility		$134.90	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $363.08	Professional		$104.71	$151.36	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
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 $107.15 / $151.36 / $251.19	Professional		$107.15	$151.36	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $223.87	Professional		$107.15	$158.49	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $288.40	Professional		$114.82	$169.82	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $173.78 / $426.58	Facility		$104.71	$173.78	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $1,096.48	Professional		$141.25	$257.04	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $3,019.95	Facility		$1,071.52	$1,202.26	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $269.15	Professional		$104.71	$154.88	$269.15