Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.56 / $2,215.00 / $6,284.00	Facility		$275.56	$2,215.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $275.56 / $750.00	Professional		$116.10	$275.56	$750.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $170.12 / $222.11	Professional		$98.24	$170.12	$222.11
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 $139.30 / $262.48 / $474.60	Professional		$139.30	$262.48	$474.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $2,769.00 / $4,641.00	Facility		$1,693.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.40 / $281.76 / $577.84	Professional		$133.40	$281.76	$577.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.84 / $298.92 / $966.48	Facility		$120.84	$298.92	$966.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $554.41 / $2,214.71	Professional		$291.24	$554.41	$2,214.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $197.26	Professional		$170.28	$170.28	$197.26
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 $267.94 / $410.31 / $657.79	Professional		$267.94	$410.31	$657.79