Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.99 / $2,076.00 / $5,687.00	Facility		$484.99	$2,076.00	$5,687.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $476.74 / $1,012.78	Professional		$325.69	$476.74	$1,012.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.04 / $280.25 / $563.48	Professional		$246.04	$280.25	$563.48
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 $357.14 / $437.00 / $719.91	Professional		$357.14	$437.00	$719.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $619.57 / $1,109.08	Professional		$408.02	$619.57	$1,109.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.34 / $664.10 / $3,006.00	Facility		$389.34	$664.10	$3,006.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $179.69 / $179.69 / $179.69	Facility	AS	$179.69	$179.69	$179.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $543.57 / $852.14 / $4,256.47	Professional		$543.57	$852.14	$4,256.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $324.00 / $324.00 / $324.00	Professional		$324.00	$324.00	$324.00
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 $514.99 / $711.54 / $1,216.63	Professional		$514.99	$711.54	$1,216.63