Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $18.72 / $60.12	Facility		$5.00	$18.72	$60.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $40.86 / $135.31	Professional		$21.91	$40.86	$135.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.33 / $80.53	Professional		$19.50	$50.33	$80.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $70.47 / $309.77	Facility		$67.11	$70.47	$309.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $40.10 / $54.30	Professional		$32.22	$40.10	$54.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $61.78	Professional		$33.36	$33.36	$61.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.69 / $54.32 / $358.44	Facility		$32.69	$54.32	$358.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $33.49 / $81.58	Professional		$25.55	$33.49	$81.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $60.77 / $60.77	Professional		$60.77	$60.77	$60.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $33.49 / $50.78	Professional		$25.55	$33.49	$50.78