Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.87 / $2,243.00 / $6,284.00	Facility		$255.87	$2,243.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $217.69 / $505.82	Professional		$103.37	$217.69	$505.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $166.70 / $166.70	Professional		$166.70	$166.70	$166.70
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 $113.96 / $142.93 / $252.68	Professional		$113.96	$142.93	$252.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.46 / $201.46 / $201.46	Facility		$201.46	$201.46	$201.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $256.05 / $490.61	Professional		$139.54	$256.05	$490.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.67 / $255.87 / $786.00	Facility		$108.67	$255.87	$786.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.98 / $421.25 / $2,628.00	Professional		$265.98	$421.25	$2,628.00
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,675.00	Facility		$899.00	$1,729.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.98 / $380.17 / $570.73	Professional		$265.98	$380.17	$570.73