Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.73 / $2,507.00 / $7,365.00	Facility		$312.73	$2,507.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $240.61 / $454.56	Professional		$125.18	$240.61	$454.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $374.47 / $1,103.78 / $1,569.47	Professional	50	$374.47	$1,103.78	$1,569.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $236.76 / $426.07	Professional		$178.10	$236.76	$426.07
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 $152.69 / $197.51 / $278.64	Professional		$152.69	$197.51	$278.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.04 / $296.27 / $417.98	Professional	50	$229.04	$296.27	$417.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.32 / $212.32 / $386.00	Facility		$212.32	$212.32	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $277.94 / $593.04	Professional		$151.57	$277.94	$593.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $484.00 / $2,650.00	Facility		$174.44	$484.00	$2,650.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $360.58 / $2,232.84	Professional		$258.33	$360.58	$2,232.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $1,937.00 / $2,831.00	Facility		$1,123.00	$1,937.00	$2,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $321.97 / $553.98	Professional		$256.92	$321.97	$553.98