Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,398.83 / $6,309.57	Facility		$165.96	$2,398.83	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $489.78	Professional		$112.20	$169.82	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Professional		$112.20	$112.20	$199.53
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 $112.20 / $162.18 / $263.03	Professional		$112.20	$162.18	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $165.96 / $234.42	Professional		$112.20	$165.96	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Professional		$120.23	$177.83	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $457.09	Facility		$109.65	$181.97	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $1,174.90	Professional		$151.36	$269.15	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,238.72	Facility		$851.14	$1,122.02	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $288.40	Professional		$109.65	$165.96	$288.40