Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.09 / $2,676.28 / $5,691.00	Facility		$549.09	$2,676.28	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.37 / $310.00 / $1,294.59	Professional		$165.37	$310.00	$1,294.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $150.22 / $252.37	Professional		$99.99	$150.22	$252.37
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 $282.31 / $397.82 / $596.83	Professional		$282.31	$397.82	$596.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $454.81 / $804.67	Professional		$210.29	$454.81	$804.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.03 / $422.82 / $3,006.00	Facility		$181.03	$422.82	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.41 / $762.93 / $3,071.98	Professional		$472.41	$762.93	$3,071.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $290.23 / $290.23 / $290.23	Professional		$290.23	$290.23	$290.23
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 $440.39 / $626.45 / $1,012.56	Professional		$440.39	$626.45	$1,012.56