Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.92 / $2,414.00 / $6,284.00	Facility		$109.92	$2,414.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $109.92 / $222.90	Professional		$37.92	$109.92	$222.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $139.85 / $159.35	Professional		$89.28	$139.85	$159.35
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 $41.70 / $74.80 / $152.51	Professional		$41.70	$74.80	$152.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $62.00 / $62.00	Facility		$62.00	$62.00	$62.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $91.13 / $212.02	Professional		$42.89	$91.13	$212.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $101.63 / $256.94	Facility		$40.20	$101.63	$256.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $197.91 / $870.16	Professional		$90.19	$197.91	$870.16
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 $90.19 / $138.31 / $244.05	Professional		$90.19	$138.31	$244.05