Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,778.28 / $5,623.41	Facility		$165.96	$1,778.28	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $416.87	Professional		$128.82	$218.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $213.80	Professional		$123.03	$158.49	$213.80
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 $151.36 / $190.55 / $281.84	Professional		$151.36	$190.55	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $257.04	Professional		$123.03	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $323.59	Professional		$134.90	$208.93	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $229.09 / $933.25	Facility		$54.95	$229.09	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $1,258.93	Professional		$162.18	$257.04	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $707.95 / $1,412.54	Facility		$229.09	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $295.12	Professional		$141.25	$177.83	$295.12