Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $169.82 / $741.31	Facility		$70.79	$169.82	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $575.44	Professional		$75.86	$173.78	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $154.88	Professional		$87.10	$97.72	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $331.13	Professional		$97.72	$158.49	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $263.03	Professional		$72.44	$158.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,000.00	Facility		$309.03	$309.03	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $331.13	Professional		$85.11	$162.18	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $363.08	Facility		$75.86	$162.18	$363.08
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $323.59 / $1,819.70	Professional		$158.49	$323.59	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,137.96	Facility		$154.88	$1,047.13	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $151.36 / $309.03	Professional		$74.13	$151.36	$309.03