Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $3,162.28 / $8,511.38	Facility		$117.49	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $288.40	Professional		$61.66	$123.03	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $43.65	Professional		$38.90	$38.90	$43.65
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 $64.57 / $102.33 / $186.21	Professional		$64.57	$102.33	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $177.83	Professional		$61.66	$117.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $245.47	Professional		$69.18	$128.82	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $134.90 / $758.58	Facility		$58.88	$134.90	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $3,715.35	Professional		$123.03	$208.93	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $707.95 / $1,778.28	Facility		$245.47	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $213.80	Professional		$66.07	$123.03	$213.80