Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $1,760.00 / $5,691.00	Facility		$82.50	$1,760.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $89.54 / $163.54	Professional		$50.81	$89.54	$163.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.81 / $43.81 / $67.04	Professional		$43.81	$43.81	$67.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,785.00 / $4,773.00	Facility		$862.00	$1,785.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.84 / $98.79 / $164.67	Professional		$58.84	$98.79	$164.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $104.78 / $211.63	Professional		$56.52	$104.78	$211.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $101.17 / $250.34	Facility		$53.37	$101.17	$250.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $202.74 / $728.98	Professional		$103.64	$202.74	$728.98
United Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $1,410.00 / $2,193.00	Facility		$137.19	$1,410.00	$2,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $139.32 / $233.64	Professional		$95.81	$139.32	$233.64