Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,818.38 / $5,623.41	Facility		$239.88	$2,818.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $630.96	Professional		$190.55	$263.03	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $588.84	Professional		$134.90	$194.98	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $3,235.94	Facility		$758.58	$1,513.56	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $416.87	Professional		$218.78	$288.40	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $338.84	Professional		$190.55	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $467.74	Professional		$194.98	$295.12	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,380.38 / $16,218.10	Facility		$239.88	$1,380.38	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $1,949.84	Professional		$218.78	$346.74	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,019.95	Facility		$1,071.52	$1,548.82	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $478.63	Professional		$204.17	$288.40	$478.63