Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $1,172.00 / $5,389.00	Facility		$107.03	$1,172.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $112.04 / $257.49	Professional		$58.64	$112.04	$257.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $99.51 / $99.51	Professional		$99.51	$99.51	$99.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $89.94 / $126.45	Professional		$66.47	$89.94	$126.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.58 / $134.91 / $189.67	Professional	50	$100.58	$134.91	$189.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $135.08 / $229.03	Professional		$75.64	$135.08	$229.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $141.83 / $1,770.00	Facility		$69.20	$141.83	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $213.69 / $1,433.08	Professional		$126.69	$213.69	$1,433.08
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $172.19 / $260.57	Professional		$107.72	$172.19	$260.57