Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $1,760.00 / $6,284.00	Facility		$132.69	$1,760.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $116.07 / $277.18	Professional		$58.73	$116.07	$277.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $94.26	Professional		$94.26	$94.26	$94.26
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 $68.84 / $92.00 / $133.33	Professional		$68.84	$92.00	$133.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $103.27 / $138.52 / $199.99	Professional	50	$103.27	$138.52	$199.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $142.00 / $261.26	Professional		$72.50	$142.00	$261.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $158.18 / $1,770.00	Facility		$63.04	$158.18	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $224.60 / $1,227.00	Professional		$140.38	$224.60	$1,227.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $108.40 / $108.40	Professional		$108.40	$108.40	$108.40
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $204.12 / $303.92	Professional		$129.62	$204.12	$303.92