Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.72 / $4,498.00 / $12,237.00	Facility		$802.72	$4,498.00	$12,237.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.09 / $648.97 / $2,138.79	Professional		$495.09	$648.97	$2,138.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,954.64 / $2,246.23 / $3,880.17	Professional	50	$1,954.64	$2,246.23	$3,880.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,775.70 / $1,775.70 / $1,775.70	Professional	50	$1,775.70	$1,775.70	$1,775.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,643.00 / $17,951.00	Facility		$2,224.00	$4,643.00	$17,951.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.60 / $870.64 / $1,335.01	Professional		$666.60	$870.64	$1,335.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $999.90 / $1,305.96 / $2,002.51	Professional	50	$999.90	$1,305.96	$2,002.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,488.00 / $13,882.00 / $15,775.00	Facility		$7,488.00	$13,882.00	$15,775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.64 / $1,085.85 / $1,775.99	Professional		$658.64	$1,085.85	$1,775.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.12 / $1,068.93 / $4,731.12	Facility		$602.12	$1,068.93	$4,731.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.69 / $1,399.96 / $6,141.92	Professional		$773.69	$1,399.96	$6,141.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,959.00 / $5,829.00	Facility		$1,644.00	$2,959.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.70 / $1,044.90 / $1,635.11	Professional		$730.70	$1,044.90	$1,635.11