Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.58 / $529.58 / $3,024.13	Facility		$529.58	$529.58	$3,024.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.22 / $2,271.78 / $18,681.90	Professional		$737.22	$2,271.78	$18,681.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.48 / $272.48 / $356.16	Professional		$272.48	$272.48	$356.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,114.00 / $8,107.00 / $16,769.00	Facility		$2,114.00	$8,107.00	$16,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.94 / $2,020.57 / $5,456.30	Professional		$451.94	$2,020.57	$5,456.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.48 / $744.48 / $744.48	Professional		$744.48	$744.48	$744.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.11 / $3,214.86 / $14,049.06	Facility		$457.11	$3,214.86	$14,049.06
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $392.38 / $392.38 / $392.38	Facility	53	$392.38	$392.38	$392.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $196.19 / $196.19 / $196.19	Facility	AS	$196.19	$196.19	$196.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,524.29 / $6,521.40 / $20,972.32	Professional		$3,524.29	$6,521.40	$20,972.32
United Facility/Professional Professional Modifier Low / Median / High Price $3,524.15 / $5,437.05 / $9,127.53	Professional		$3,524.15	$5,437.05	$9,127.53