Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.65 / $1,139.00 / $5,691.00	Facility		$153.65	$1,139.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $170.95 / $525.69	Professional		$112.77	$170.95	$525.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $162.13 / $245.99	Professional		$114.92	$162.13	$245.99
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 $113.61 / $139.19 / $238.21	Professional		$113.61	$139.19	$238.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.02 / $190.92 / $298.39	Professional		$132.02	$190.92	$298.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.87 / $196.78 / $561.65	Facility		$113.87	$196.78	$561.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.91 / $253.20 / $1,104.40	Professional		$155.91	$253.20	$1,104.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $241.02 / $241.02 / $241.02	Professional		$241.02	$241.02	$241.02
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $213.91 / $333.70	Professional		$139.01	$213.91	$333.70