Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $1,130.00 / $5,389.00	Facility		$159.00	$1,130.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.57 / $183.16 / $406.24	Professional		$93.57	$183.16	$406.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $146.08 / $292.47	Professional		$75.41	$146.08	$292.47
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 $96.42 / $166.00 / $315.31	Professional		$96.42	$166.00	$315.31
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 $103.90 / $210.33 / $430.00	Professional		$103.90	$210.33	$430.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.19 / $219.00 / $716.16	Facility		$99.19	$219.00	$716.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.24 / $422.37 / $1,746.00	Professional		$202.24	$422.37	$1,746.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,103.00 / $1,751.00 / $2,539.00	Facility		$1,103.00	$1,751.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.55 / $285.77 / $504.06	Professional		$185.55	$285.77	$504.06