Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.68 / $1,110.00 / $4,387.00	Facility		$222.68	$1,110.00	$4,387.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.50 / $98.36 / $221.06	Facility	52	$75.50	$98.36	$221.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $277.23 / $673.62	Professional		$151.00	$277.23	$673.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $181.58 / $282.58	Professional		$93.98	$181.58	$282.58
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 $186.73 / $320.87 / $597.30	Professional		$186.73	$320.87	$597.30
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 $181.69 / $344.19 / $718.29	Professional		$181.69	$344.19	$718.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $380.68 / $1,187.72	Facility		$166.40	$380.68	$1,187.72
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $595.82 / $595.82 / $595.82	Facility	52	$595.82	$595.82	$595.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.37 / $747.56 / $3,058.16	Professional		$262.37	$747.56	$3,058.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $216.65 / $324.98	Professional		$162.50	$216.65	$324.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $1,895.00 / $3,041.00	Facility		$1,380.00	$1,895.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $261.76 / $486.48 / $908.71	Professional		$261.76	$486.48	$908.71