Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.55 / $2,934.00 / $7,365.00	Facility		$853.55	$2,934.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.42 / $882.98 / $1,676.19	Professional		$689.42	$882.98	$1,676.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $699.52 / $980.81 / $1,421.52	Professional		$699.52	$980.81	$1,421.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $999.98 / $1,555.88	Professional		$766.00	$999.98	$1,555.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.74 / $1,167.50 / $1,921.81	Professional		$791.74	$1,167.50	$1,921.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.08 / $1,273.41 / $5,952.36	Facility		$731.08	$1,273.41	$5,952.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $864.49 / $1,285.69 / $7,470.40	Professional		$864.49	$1,285.69	$7,470.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $1,697.00 / $3,071.00	Facility		$1,185.00	$1,697.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $811.62 / $1,044.83 / $1,867.52	Professional		$811.62	$1,044.83	$1,867.52