Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $2,826.00 / $5,687.00	Facility		$256.39	$2,826.00	$5,687.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $293.07 / $680.03	Professional		$146.59	$293.07	$680.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $188.97 / $192.45	Professional		$165.63	$188.97	$192.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,581.00 / $3,523.00	Facility		$770.00	$1,581.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $259.20 / $461.53	Professional		$168.79	$259.20	$461.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $325.87 / $635.88	Professional		$171.16	$325.87	$635.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.93 / $396.83 / $2,831.00	Facility		$170.93	$396.83	$2,831.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $582.99 / $2,544.21	Professional		$304.08	$582.99	$2,544.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,332.00 / $3,071.00	Facility		$1,216.00	$2,332.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.10 / $385.81 / $701.93	Professional		$298.10	$385.81	$701.93