Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $40.74 / $95.50	Facility		$30.90	$40.74	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $151.36	Professional		$36.31	$43.65	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $63.10	Professional		$33.11	$41.69	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $18,197.01 / $25,703.96	Facility		$1,479.11	$18,197.01	$25,703.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $67.61	Professional		$35.48	$42.66	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $60.26	Professional		$33.88	$42.66	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $85.11	Professional		$39.81	$54.95	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $95.50	Facility		$35.48	$45.71	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $251.19	Professional		$38.90	$60.26	$251.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $117.49 / $239.88	Facility		$36.31	$117.49	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $77.62	Professional		$37.15	$47.86	$77.62