Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,818.38 / $5,754.40	Facility		$93.33	$2,818.38	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $309.03	Professional		$52.48	$112.20	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $64.57	Professional		$42.66	$44.67	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $112.20	Professional		$54.95	$67.61	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $123.03 / $169.82	Professional		$51.29	$123.03	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $208.93	Professional		$61.66	$112.20	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $549.54	Facility		$54.95	$112.20	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $851.14	Professional		$104.71	$186.21	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $1,778.28	Facility		$338.84	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $204.17	Professional		$58.88	$107.15	$204.17