Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,570.40 / $5,623.41	Facility		$194.98	$2,570.40	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $501.19	Professional		$79.43	$177.83	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $389.05	Professional		$58.88	$75.86	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $208.93	Professional		$89.13	$120.23	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $257.04	Professional		$77.62	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $398.11	Professional		$95.50	$186.21	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $190.55 / $537.03	Facility		$74.13	$190.55	$537.03
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $1,548.82	Professional		$204.17	$371.54	$1,548.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $707.95 / $1,778.28	Facility		$245.47	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $363.08	Professional		$91.20	$199.53	$363.08