Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $588.00 / $588.00	Facility		$588.00	$588.00	$588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $95.93 / $478.00	Professional		$78.11	$95.93	$478.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $95.44 / $118.50	Professional		$73.34	$95.44	$118.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.77 / $254.00 / $392.00	Facility		$186.77	$254.00	$392.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $97.85 / $139.80	Professional		$74.08	$97.85	$139.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $295.16 / $510.00	Facility		$150.00	$295.16	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $104.99 / $181.49	Professional		$76.77	$104.99	$181.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.34 / $110.46 / $203.63	Facility		$80.34	$110.46	$203.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $110.08 / $746.29	Professional		$70.45	$110.08	$746.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $153.01 / $153.01 / $153.01	Professional		$153.01	$153.01	$153.01
United Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $98.92 / $169.10	Professional		$66.05	$98.92	$169.10