Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $6,420.00 / $19,982.14	Facility		$1,760.00	$6,420.00	$19,982.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.38 / $1,548.62 / $4,128.18	Professional		$1,219.38	$1,548.62	$4,128.18
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $38.04 / $255.55 / $946.33	Professional	AS	$38.04	$255.55	$946.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,421.78 / $1,732.88 / $2,073.83	Professional		$1,421.78	$1,732.88	$2,073.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $7,440.00 / $19,885.00	Facility		$2,224.00	$7,440.00	$19,885.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,432.87 / $1,770.00 / $2,792.92	Professional		$1,432.87	$1,770.00	$2,792.92
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $197.58 / $247.80 / $391.00	Professional	AS	$197.58	$247.80	$391.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,391.00 / $10,975.00 / $11,430.00	Facility		$6,391.00	$10,975.00	$11,430.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,413.19 / $1,989.21 / $3,189.88	Professional		$1,413.19	$1,989.21	$3,189.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $2,162.67 / $11,601.00	Facility		$1,271.83	$2,162.67	$11,601.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $365.73 / $365.73 / $7,806.31	Facility	AS	$365.73	$365.73	$7,806.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,439.82 / $2,095.46 / $10,613.28	Professional		$1,439.82	$2,095.46	$10,613.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,364.08 / $2,364.08 / $2,364.08	Professional		$2,364.08	$2,364.08	$2,364.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $5,285.00 / $38,731.00	Facility		$2,578.00	$5,285.00	$38,731.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.31 / $1,893.80 / $3,105.82	Professional		$1,370.31	$1,893.80	$3,105.82