Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.82 / $1,512.00 / $5,691.00	Facility		$142.82	$1,512.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $162.18 / $336.79	Professional		$93.23	$162.18	$336.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.85 / $120.85 / $120.85	Professional		$120.85	$120.85	$120.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.07 / $148.16 / $240.36	Professional		$106.07	$148.16	$240.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $184.99 / $366.88	Professional		$108.80	$184.99	$366.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.74 / $183.31 / $747.00	Facility		$89.74	$183.31	$747.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $274.97 / $1,384.32	Professional		$137.12	$274.97	$1,384.32
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $204.15 / $351.38	Professional		$134.97	$204.15	$351.38