Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.99 / $851.00 / $4,610.00	Facility		$87.99	$851.00	$4,610.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $104.73 / $233.61	Professional		$53.16	$104.73	$233.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $125.71 / $162.01	Professional		$88.92	$125.71	$162.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $104.02 / $164.43	Professional		$75.23	$104.02	$164.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $131.09 / $235.35	Professional		$74.16	$131.09	$235.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $128.07 / $757.00	Facility		$55.00	$128.07	$757.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $180.15 / $852.00	Professional		$101.57	$180.15	$852.00
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $136.53 / $236.33	Professional		$101.34	$136.53	$236.33