Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $10,000.00	Facility		$74.13	$125.89	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $125.89	Professional		$72.44	$74.13	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $204.17	Facility		$74.13	$79.43	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $97.72	Professional		$74.13	$75.86	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $95.50 / $151.36	Facility		$75.86	$95.50	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $3,801.89	Professional		$75.86	$81.28	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $102.33	Facility		$74.13	$93.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $75.86 / $87.10	Professional		$67.61	$75.86	$87.10