Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $251.19 / $3,890.45	Facility		$42.66	$251.19	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $61.66 / $151.36	Professional		$23.44	$61.66	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $72.44	Professional		$21.38	$30.20	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $114.82	Professional		$30.90	$64.57	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $63.10 / $102.33	Professional		$23.99	$63.10	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $131.83	Professional		$28.84	$64.57	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $91.20 / $891.25	Facility		$32.36	$91.20	$891.25
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	52	$89.13	$89.13	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $549.54	Professional		$63.10	$120.23	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $691.83 / $1,380.38	Facility		$97.72	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $61.66 / $125.89	Professional		$29.51	$61.66	$125.89