Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.06 / $1,139.00 / $5,560.00	Facility		$173.06	$1,139.00	$5,560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $205.98 / $572.62	Professional		$104.01	$205.98	$572.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $121.56 / $204.04	Professional		$117.49	$121.56	$204.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,785.00 / $4,773.00	Facility		$862.00	$1,785.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $187.44 / $316.31	Professional		$107.85	$187.44	$316.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $212.64 / $417.30	Professional		$114.01	$212.64	$417.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $227.20 / $781.32	Facility		$110.16	$227.20	$781.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.47 / $408.54 / $1,605.28	Professional		$202.47	$408.54	$1,605.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,332.00 / $3,041.00	Facility		$1,216.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $279.24 / $529.27	Professional		$193.91	$279.24	$529.27