Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.52 / $281.63 / $420.57	Facility		$157.52	$281.63	$420.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.52 / $243.97 / $681.70	Professional		$157.52	$243.97	$681.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $213.37 / $289.50	Professional		$147.61	$213.37	$289.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.78 / $222.85 / $376.25	Professional		$184.78	$222.85	$376.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.80 / $257.89 / $387.47	Professional		$179.80	$257.89	$387.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $192.65 / $288.81 / $639.53	Facility		$192.65	$288.81	$639.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $251.51 / $1,821.00	Professional		$183.05	$251.51	$1,821.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $345.97 / $345.97 / $345.97	Professional		$345.97	$345.97	$345.97
United Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $226.14 / $381.09	Professional		$169.87	$226.14	$381.09