Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $3,213.00 / $7,365.00	Facility		$139.66	$3,213.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $125.22 / $186.54	Professional		$90.28	$125.22	$186.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $107.43 / $149.32	Professional		$107.43	$107.43	$149.32
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 $105.00 / $126.00 / $191.61	Professional		$105.00	$126.00	$191.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.50 / $189.00 / $287.41	Professional	50	$157.50	$189.00	$287.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $75.19 / $591.00	Facility		$75.19	$75.19	$591.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $150.90 / $441.66	Professional		$100.84	$150.90	$441.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $202.91 / $2,650.00	Facility		$55.00	$202.91	$2,650.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $156.30 / $1,992.30	Professional		$107.63	$156.30	$1,992.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,306.00 / $3,071.00	Facility		$1,216.00	$2,306.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $144.24 / $226.59	Professional		$107.63	$144.24	$226.59