Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.67 / $1,515.49 / $4,377.00	Facility		$303.67	$1,515.49	$4,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $331.63 / $813.13	Professional		$178.32	$331.63	$813.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.01 / $215.63 / $275.95	Professional		$91.01	$215.63	$275.95
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 $219.42 / $379.97 / $724.94	Professional		$219.42	$379.97	$724.94
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 $210.85 / $404.85 / $878.05	Professional		$210.85	$404.85	$878.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $456.91 / $1,380.00	Facility		$196.64	$456.91	$1,380.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $911.94 / $3,654.56	Professional		$303.64	$911.94	$3,654.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $380.62 / $380.62 / $380.62	Professional		$380.62	$380.62	$380.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $2,269.00 / $2,783.00	Facility		$1,123.00	$2,269.00	$2,783.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.64 / $583.72 / $1,090.69	Professional		$303.64	$583.72	$1,090.69