Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.18 / $2,280.00 / $5,691.00	Facility		$254.18	$2,280.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.37 / $213.18 / $482.80	Professional		$100.37	$213.18	$482.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $151.88 / $151.88	Professional		$106.34	$151.88	$151.88
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 $112.02 / $140.51 / $248.97	Professional		$112.02	$140.51	$248.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.57 / $198.57 / $198.57	Facility		$198.57	$198.57	$198.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.56 / $253.61 / $483.42	Professional		$137.56	$253.61	$483.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $254.18 / $779.69	Facility		$107.12	$254.18	$779.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $415.75 / $1,874.88	Professional		$262.37	$415.75	$1,874.88
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 $165.01 / $323.02 / $547.79	Professional		$165.01	$323.02	$547.79