Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $2,195.05 / $5,691.00	Facility		$138.11	$2,195.05	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $197.00 / $410.07	Professional		$104.35	$197.00	$410.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $142.82 / $162.75	Professional		$142.82	$142.82	$162.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $4,050.00 / $9,663.00	Facility		$2,114.00	$4,050.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $172.27 / $297.38	Professional		$112.00	$172.27	$297.38
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 $120.87 / $211.05 / $404.85	Professional		$120.87	$211.05	$404.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.44 / $206.86 / $495.56	Facility		$106.44	$206.86	$495.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.82 / $382.19 / $1,581.52	Professional		$183.82	$382.19	$1,581.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,332.00 / $3,041.00	Facility		$1,380.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.32 / $269.58 / $502.48	Professional		$173.32	$269.58	$502.48