Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.81 / $2,005.00 / $4,907.00	Facility		$209.81	$2,005.00	$4,907.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.98 / $104.90 / $318.07	Facility	52	$79.98	$104.90	$318.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $370.44 / $855.29	Professional		$164.54	$370.44	$855.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $249.34 / $296.33	Professional		$143.19	$249.34	$296.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,508.00 / $3,523.00	Facility		$770.00	$1,508.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.22 / $335.43 / $869.80	Professional		$196.22	$335.43	$869.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.00 / $2,769.00 / $4,641.00	Facility		$2,213.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.22 / $386.32 / $1,077.41	Professional		$189.22	$386.32	$1,077.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.95 / $525.83 / $1,490.84	Facility		$175.95	$525.83	$1,490.84
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $634.61 / $634.61 / $634.61	Facility	52	$634.61	$634.61	$634.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $1,129.93 / $4,363.52	Professional		$262.20	$1,129.93	$4,363.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $170.40 / $227.18 / $287.86	Professional		$170.40	$227.18	$287.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,021.42 / $2,261.00 / $2,963.00	Facility		$1,021.42	$2,261.00	$2,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.93 / $760.54 / $1,411.78	Professional		$261.93	$760.54	$1,411.78