Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $2,414.00 / $6,284.00	Facility		$139.09	$2,414.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.26 / $113.09 / $200.97	Professional		$44.26	$113.09	$200.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $42.89 / $110.79	Professional		$19.87	$42.89	$110.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,508.00 / $3,523.00	Facility		$770.00	$1,508.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $92.69 / $185.72	Professional		$49.57	$92.69	$185.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $2,769.00 / $4,641.00	Facility		$1,693.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $113.55 / $244.20	Professional		$51.49	$113.55	$244.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $122.04 / $359.51	Facility		$47.33	$122.04	$359.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $240.22 / $946.80	Professional		$110.63	$240.22	$946.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,751.00 / $2,883.32	Facility		$1,106.00	$1,751.00	$2,883.32
United Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $166.81 / $283.26	Professional		$107.98	$166.81	$283.26