Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.52 / $2,414.00 / $7,365.00	Facility		$125.52	$2,414.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $125.51 / $353.43	Professional		$28.17	$125.51	$353.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $42.52 / $43.76	Professional		$26.50	$42.52	$43.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $68.84 / $262.68	Professional		$30.84	$68.84	$262.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $93.39 / $270.39	Professional		$33.47	$93.39	$270.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $134.60 / $383.00	Facility		$31.82	$134.60	$383.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $281.81 / $1,005.20	Professional		$156.63	$281.81	$1,005.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $50.32 / $50.32	Professional		$50.32	$50.32	$50.32
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $228.16 / $341.46	Professional		$156.63	$228.16	$341.46