Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $2,507.00 / $7,365.00	Facility		$53.97	$2,507.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $64.23 / $241.93	Professional		$37.59	$64.23	$241.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $81.62 / $95.10	Professional		$55.74	$81.62	$95.10
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 $44.32 / $62.84 / $93.60	Professional		$44.32	$62.84	$93.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $71.88 / $118.94	Professional		$45.44	$71.88	$118.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $71.48 / $245.00	Facility		$41.35	$71.48	$245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $92.28 / $593.10	Professional		$60.53	$92.28	$593.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $105.94 / $105.94	Professional		$105.94	$105.94	$105.94
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 $57.17 / $74.73 / $126.33	Professional		$57.17	$74.73	$126.33