Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.86 / $3,907.00 / $7,996.00	Facility		$227.86	$3,907.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $190.94 / $384.06	Professional		$138.19	$190.94	$384.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.55 / $241.55 / $241.55	Professional		$241.55	$241.55	$241.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $216.36 / $322.33	Professional		$157.00	$216.36	$322.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.81 / $256.39 / $414.04	Professional		$177.81	$256.39	$414.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.49 / $266.81 / $3,693.00	Facility		$161.49	$266.81	$3,693.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.59 / $321.11 / $1,725.44	Professional		$205.59	$321.11	$1,725.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $277.77 / $277.77	Professional		$277.77	$277.77	$277.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $6,854.00	Facility		$1,748.00	$3,502.00	$6,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.75 / $273.02 / $446.32	Professional		$196.75	$273.02	$446.32