Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $85.11	Facility		$43.65	$51.29	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $177.83	Professional		$39.81	$64.57	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $93.33	Professional		$57.54	$75.86	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $269.15	Facility		$77.62	$77.62	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $112.20	Professional		$52.48	$70.79	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $77.62	Professional		$46.77	$46.77	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $85.11	Professional		$61.66	$61.66	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $371.54	Facility		$46.77	$70.79	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $512.86	Professional		$39.81	$56.23	$512.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $87.10	Facility		$52.48	$60.26	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $54.95 / $87.10	Professional		$37.15	$54.95	$87.10