Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $844.35 / $4,111.00	Facility		$48.49	$844.35	$4,111.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $61.54 / $249.00	Professional		$36.08	$61.54	$249.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $54.16 / $85.64	Professional		$45.93	$54.16	$85.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $65.22 / $98.28	Professional		$44.77	$65.22	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $70.93 / $122.63	Professional		$46.91	$70.93	$122.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $75.26 / $875.00	Facility		$42.75	$75.26	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $95.62 / $613.73	Professional		$62.54	$95.62	$613.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $70.81 / $98.49	Professional		$70.81	$70.81	$98.49
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.11 / $77.77 / $131.24	Professional		$59.11	$77.77	$131.24