Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.54 / $2,467.00 / $7,365.00	Facility		$393.54	$2,467.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $389.00 / $726.25	Professional		$255.08	$389.00	$726.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $333.41 / $647.59	Professional		$333.41	$333.41	$647.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $352.00 / $565.16	Professional		$272.18	$352.00	$565.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.63 / $507.38 / $906.21	Professional		$312.63	$507.38	$906.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.69 / $519.70 / $3,006.00	Facility		$293.69	$519.70	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.26 / $690.76 / $3,449.28	Professional		$446.26	$690.76	$3,449.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $744.73 / $744.73 / $744.73	Professional		$744.73	$744.73	$744.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.81 / $557.84 / $976.52	Professional		$412.81	$557.84	$976.52