Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $731.00 / $5,691.00	Facility		$65.12	$731.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $96.88 / $349.00	Professional		$65.12	$96.88	$349.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $97.87 / $184.74	Professional		$62.59	$97.87	$184.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $83.52 / $132.91	Professional		$63.63	$83.52	$132.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $100.76 / $169.53	Professional		$72.64	$100.76	$169.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $118.42 / $2,019.00	Facility		$66.33	$118.42	$2,019.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $112.00 / $691.60	Professional		$73.56	$112.00	$691.60
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $93.68 / $181.08	Professional		$72.09	$93.68	$181.08