Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,511.89 / $5,754.40	Facility		$338.84	$2,511.89	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $812.83	Professional		$229.09	$371.54	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
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 $229.09 / $295.12 / $467.74	Professional		$229.09	$295.12	$467.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $436.52 / $691.83	Professional	50	$346.74	$436.52	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $549.54	Professional		$245.47	$407.38	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $741.31	Professional		$257.04	$426.58	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $707.95 / $16,218.10	Facility		$263.03	$707.95	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $3,090.30	Professional		$389.05	$616.60	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,019.95	Facility		$1,071.52	$1,778.28	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $691.83	Professional		$257.04	$398.11	$691.83