Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.38 / $1,662.00 / $5,560.00	Facility		$187.38	$1,662.00	$5,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $141.44 / $632.63	Professional		$52.49	$141.44	$632.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $69.09 / $82.63	Professional		$47.49	$69.09	$82.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,818.00 / $4,958.00	Facility		$862.00	$1,818.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $109.51 / $276.07	Professional		$62.00	$109.51	$276.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $156.69 / $419.79	Professional		$63.34	$156.69	$419.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $174.41 / $511.55	Facility		$55.00	$174.41	$511.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $293.01 / $2,881.04	Professional		$144.22	$293.01	$2,881.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $95.02 / $95.02	Professional		$95.02	$95.02	$95.02
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.09 / $214.00 / $399.11	Professional		$126.09	$214.00	$399.11