Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $1,760.00 / $6,284.00	Facility		$109.85	$1,760.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $160.22 / $445.43	Professional		$67.20	$160.22	$445.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $89.70 / $105.29	Professional		$62.64	$89.70	$105.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $4,279.00 / $9,569.00	Facility		$2,114.00	$4,279.00	$9,569.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $99.65 / $153.03	Professional		$77.08	$99.65	$153.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $178.09 / $364.24	Professional		$82.45	$178.09	$364.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $184.88 / $527.26	Facility		$66.50	$184.88	$527.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.47 / $303.33 / $2,530.30	Professional		$189.47	$303.33	$2,530.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $121.08 / $121.08	Professional		$121.08	$121.08	$121.08
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 $184.83 / $227.36 / $397.67	Professional		$184.83	$227.36	$397.67