Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,318.26 / $5,623.41	Facility		$186.21	$1,318.26	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $741.31	Professional		$131.83	$218.78	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $138.04 / $371.54	Professional		$123.03	$138.04	$371.54
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 $131.83 / $186.21 / $316.23	Professional		$131.83	$186.21	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $288.40	Professional		$134.90	$208.93	$288.40
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 $144.54 / $213.80 / $363.08	Professional		$144.54	$213.80	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $724.44	Facility		$134.90	$223.87	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $1,445.44	Professional		$181.97	$323.59	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $691.83 / $1,380.38	Facility		$177.83	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $354.81	Professional		$131.83	$199.53	$354.81