Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $156.71 / $1,000.00	Facility		$46.42	$156.71	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $20.43 / $67.80	Professional		$9.71	$20.43	$67.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $13.50 / $16.96	Professional		$6.37	$13.50	$16.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $1,806.00 / $4,852.00	Facility		$833.00	$1,806.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $18.63 / $37.88	Professional		$12.45	$18.63	$37.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $26.18 / $60.44	Professional		$14.57	$26.18	$60.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $22.56 / $875.00	Facility		$10.37	$22.56	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $21.66 / $804.00	Professional		$11.11	$21.66	$804.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $33.50 / $33.50	Professional		$33.50	$33.50	$33.50
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $875.00 / $1,300.00	Facility		$247.00	$875.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.32 / $30.11	Professional		$10.47	$19.32	$30.11