Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.66 / $2,598.00 / $8,000.00	Facility		$389.66	$2,598.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $389.66 / $1,657.60	Professional		$230.18	$389.66	$1,657.60
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $27.54 / $91.47 / $216.00	Professional	AS	$27.54	$91.47	$216.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.46 / $314.13 / $355.97	Professional		$227.46	$314.13	$355.97
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $39.07 / $39.07 / $49.82	Professional	AS	$39.07	$39.07	$49.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $6,000.00 / $13,384.00	Facility		$2,114.00	$6,000.00	$13,384.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $340.90 / $503.35	Professional		$263.13	$340.90	$503.35
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $36.83 / $47.72 / $70.45	Professional	AS	$36.83	$47.72	$70.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,231.00 / $16,231.00 / $16,231.00	Facility		$16,231.00	$16,231.00	$16,231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $367.75 / $590.65	Professional		$265.31	$367.75	$590.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.80 / $395.00 / $5,000.00	Facility		$242.80	$395.00	$5,000.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $384.88 / $384.88 / $732.30	Facility	62	$384.88	$384.88	$732.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $61.58 / $61.58 / $117.17	Facility	AS	$61.58	$61.58	$117.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $367.51 / $1,822.88	Professional		$250.36	$367.51	$1,822.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $409.37 / $409.37 / $409.37	Professional		$409.37	$409.37	$409.37
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $1,261.00 / $10,305.00	Facility		$245.00	$1,261.00	$10,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $339.24 / $563.95	Professional		$244.25	$339.24	$563.95