Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.25 / $2,507.00 / $7,365.00	Facility		$897.25	$2,507.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.78 / $960.32 / $4,178.47	Professional		$742.78	$960.32	$4,178.47
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $25.11 / $624.02 / $920.60	Professional	AS	$25.11	$624.02	$920.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $885.03 / $992.66 / $1,387.61	Professional		$885.03	$992.66	$1,387.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,279.00 / $10,011.00	Facility		$2,088.00	$4,279.00	$10,011.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.47 / $1,049.19 / $1,691.19	Professional		$804.47	$1,049.19	$1,691.19
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $112.62 / $146.88 / $236.76	Professional	AS	$112.62	$146.88	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $1,267.01 / $2,109.25	Professional		$849.22	$1,267.01	$2,109.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.90 / $1,300.00 / $5,698.00	Facility		$566.90	$1,300.00	$5,698.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $397.38 / $397.38 / $397.38	Facility	AS	$397.38	$397.38	$397.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $934.48 / $1,366.13 / $8,026.00	Professional		$934.48	$1,366.13	$8,026.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,700.00 / $11,577.94	Facility		$1,708.00	$3,700.00	$11,577.94
United Facility/Professional Professional Modifier Low / Median / High Price $933.31 / $1,198.33 / $2,023.49	Professional		$933.31	$1,198.33	$2,023.49