Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.20 / $3,362.00 / $12,154.00	Facility		$74.20	$3,362.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $127.03 / $339.74	Professional		$70.06	$127.03	$339.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $120.11 / $241.64	Professional		$120.11	$120.11	$241.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.83 / $119.75 / $197.25	Professional		$79.83	$119.75	$197.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $124.73 / $240.55	Professional		$70.78	$124.73	$240.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.75 / $144.29 / $875.00	Facility		$56.75	$144.29	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.69 / $217.16 / $913.76	Professional		$117.69	$217.16	$913.76
United Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $760.00 / $1,300.00	Facility		$143.47	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $162.61 / $270.26	Professional		$108.90	$162.61	$270.26