Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,380.38 / $5,623.41	Facility		$69.18	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $251.19	Professional		$53.70	$112.20	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $83.18	Professional		$33.11	$33.11	$83.18
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 $63.10 / $109.65 / $204.17	Professional		$63.10	$109.65	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $194.98	Professional		$57.54	$125.89	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $269.15	Professional		$63.10	$128.82	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $154.88 / $4,265.80	Facility		$54.95	$154.88	$4,265.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,258.93	Professional		$123.03	$177.83	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,370.32	Facility		$2,137.96	$3,019.95	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $208.93	Professional		$63.10	$123.03	$208.93