Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $1,760.00 / $8,000.00	Facility		$100.72	$1,760.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $106.43 / $586.00	Professional		$51.13	$106.43	$586.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.95 / $120.02	Professional		$65.67	$65.95	$120.02
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 $62.64 / $99.60 / $184.45	Professional		$62.64	$99.60	$184.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.41 / $123.16 / $239.79	Professional		$60.41	$123.16	$239.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $127.23 / $875.00	Facility		$55.00	$127.23	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $175.76 / $1,020.56	Professional		$103.07	$175.76	$1,020.56
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $718.00 / $1,795.00	Facility		$245.00	$718.00	$1,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $148.32 / $255.35	Professional		$94.34	$148.32	$255.35