Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $1,659.59 / $5,623.41	Facility		$89.13	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $467.74	Professional		$67.61	$123.03	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $147.91	Professional		$72.44	$77.62	$147.91
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 $61.66 / $79.43 / $134.90	Professional		$61.66	$79.43	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $134.90	Professional		$63.10	$100.00	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $181.97	Professional		$75.86	$112.20	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $549.54	Facility		$61.66	$112.20	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $691.83	Professional		$91.20	$151.36	$691.83
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 $70.79 / $109.65 / $169.82	Professional		$70.79	$109.65	$169.82