Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.03 / $2,243.00 / $5,493.00	Facility		$130.03	$2,243.00	$5,493.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $160.69 / $352.47	Professional		$79.73	$160.69	$352.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.40 / $105.37 / $116.82	Professional		$102.40	$105.37	$116.82
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 $94.26 / $160.69 / $274.39	Professional		$94.26	$160.69	$274.39
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 $90.29 / $171.67 / $343.13	Professional		$90.29	$171.67	$343.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.89 / $182.44 / $568.86	Facility		$83.89	$182.44	$568.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $334.99 / $2,229.16	Professional		$171.79	$334.99	$2,229.16
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 $162.08 / $242.63 / $440.17	Professional		$162.08	$242.63	$440.17