Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.06 / $1,547.00 / $5,560.00	Facility		$310.06	$1,547.00	$5,560.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.04 / $118.67 / $335.20	Facility	52	$91.04	$118.67	$335.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.23 / $362.81 / $871.41	Professional		$193.23	$362.81	$871.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.88 / $233.53 / $310.91	Professional		$108.88	$233.53	$310.91
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 $231.78 / $428.00 / $939.48	Professional		$231.78	$428.00	$939.48
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 $220.77 / $430.51 / $1,112.18	Professional		$220.77	$430.51	$1,112.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.29 / $577.63 / $1,574.06	Facility		$200.29	$577.63	$1,574.06
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $718.14 / $718.14 / $718.14	Facility	52	$718.14	$718.14	$718.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $1,258.05 / $4,612.72	Professional		$393.19	$1,258.05	$4,612.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $328.70 / $328.70 / $390.10	Professional		$328.70	$328.70	$390.10
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 $393.19 / $802.92 / $1,430.25	Professional		$393.19	$802.92	$1,430.25