Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.66 / $2,598.00 / $7,365.00	Facility		$138.66	$2,598.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $123.29 / $183.63	Professional		$91.39	$123.29	$183.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $106.70 / $106.70	Professional		$106.70	$106.70	$106.70
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 $95.84 / $132.58 / $205.00	Professional		$95.84	$132.58	$205.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $143.76 / $198.87 / $307.50	Professional	50	$143.76	$198.87	$307.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.00 / $386.00 / $1,344.16	Facility		$386.00	$386.00	$1,344.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $153.28 / $370.00	Professional		$85.96	$153.28	$370.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $268.62 / $12,000.00	Facility		$100.00	$268.62	$12,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $162.69 / $947.48	Professional		$120.21	$162.69	$947.48
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,300.00	Facility		$245.00	$815.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.48 / $155.24 / $248.85	Professional		$115.48	$155.24	$248.85