Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.31 / $1,184.00 / $5,691.00	Facility		$131.31	$1,184.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $183.78 / $357.68	Professional		$101.40	$183.78	$357.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $102.95 / $174.79	Professional		$102.95	$102.95	$174.79
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 $104.77 / $172.66 / $304.52	Professional		$104.77	$172.66	$304.52
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 $115.27 / $205.82 / $392.25	Professional		$115.27	$205.82	$392.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.43 / $206.84 / $469.00	Facility		$103.43	$206.84	$469.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $372.95 / $1,538.16	Professional		$180.01	$372.95	$1,538.16
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $760.00 / $1,351.00	Facility		$247.00	$760.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $260.58 / $444.72	Professional		$170.20	$260.58	$444.72