Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,162.28 / $7,413.10	Facility		$776.25	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $758.58 / $1,905.46	Professional		$199.53	$758.58	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $870.96	Professional		$128.82	$281.84	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $562.34 / $1,445.44	Professional		$218.78	$562.34	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $758.58 / $1,258.93	Professional		$190.55	$758.58	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $1,548.82	Professional		$223.87	$446.68	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $776.25 / $1,862.09	Facility		$190.55	$776.25	$1,862.09
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	52	$724.44	$724.44	$724.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	53	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,621.81 / $6,025.60	Professional		$891.25	$1,621.81	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $3,019.95	Facility		$1,071.52	$1,445.44	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $707.95 / $1,659.59	Professional		$208.93	$707.95	$1,659.59