Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $295.12	Facility		$199.53	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $630.96	Professional		$199.53	$257.04	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $1,548.82	Facility		$446.68	$446.68	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $407.38	Professional		$245.47	$263.03	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $446.68	Professional		$269.15	$269.15	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $309.03	Facility		$218.78	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $309.03	Professional		$229.09	$229.09	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $354.81 / $977.24	Facility		$229.09	$354.81	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $2,884.03	Professional		$165.96	$234.42	$2,884.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $346.74	Facility		$288.40	$346.74	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $331.13	Professional		$165.96	$218.78	$331.13