Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.28 / $3,491.00 / $11,515.54	Facility		$605.28	$3,491.00	$11,515.54
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,491.00 / $3,491.00 / $3,491.00	Facility	22	$3,491.00	$3,491.00	$3,491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.83 / $575.47 / $2,154.66	Professional		$357.83	$575.47	$2,154.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $273.25 / $464.00 / $605.19	Professional		$273.25	$464.00	$605.19
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 $374.34 / $483.86 / $755.17	Professional		$374.34	$483.86	$755.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $663.21 / $1,115.09	Professional		$441.90	$663.21	$1,115.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.00 / $717.43 / $2,965.02	Facility		$404.00	$717.43	$2,965.02
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $193.77 / $193.77 / $193.77	Facility	AS	$193.77	$193.77	$193.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $910.05 / $4,446.96	Professional		$571.36	$910.05	$4,446.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $692.42 / $692.42 / $692.42	Professional		$692.42	$692.42	$692.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.60 / $742.13 / $1,262.61	Professional		$539.60	$742.13	$1,262.61