Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.21 / $2,035.59 / $5,691.00	Facility		$250.21	$2,035.59	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.88 / $298.77 / $659.38	Professional		$170.88	$298.77	$659.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.77 / $198.79 / $341.48	Professional		$154.77	$198.79	$341.48
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 $283.69 / $410.00 / $591.32	Professional		$283.69	$410.00	$591.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.54 / $460.12 / $853.61	Professional		$215.54	$460.12	$853.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $418.29 / $3,006.00	Facility		$187.02	$418.29	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.79 / $798.61 / $3,229.91	Professional		$501.79	$798.61	$3,229.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $297.60 / $297.60	Professional		$297.60	$297.60	$297.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,742.00 / $2,566.31 / $5,200.00	Facility		$1,742.00	$2,566.31	$5,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.18 / $624.35 / $1,045.79	Professional		$391.18	$624.35	$1,045.79