Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $1,368.00 / $5,283.00	Facility		$93.60	$1,368.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $154.90 / $416.79	Professional		$73.03	$154.90	$416.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $62.17 / $72.56	Professional		$34.35	$62.17	$72.56
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 $88.06 / $148.72 / $283.11	Professional		$88.06	$148.72	$283.11
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 $86.68 / $169.31 / $337.07	Professional		$86.68	$169.31	$337.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.33 / $183.04 / $648.34	Facility		$80.33	$183.04	$648.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $328.85 / $1,387.84	Professional		$162.38	$328.85	$1,387.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $130.85	Professional		$80.29	$80.29	$130.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,332.00 / $3,041.00	Facility		$1,380.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.18 / $230.67 / $412.19	Professional		$158.18	$230.67	$412.19