Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.20 / $4,470.00 / $12,154.00	Facility		$917.20	$4,470.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.63 / $748.08 / $1,166.32	Professional		$625.63	$748.08	$1,166.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $658.37 / $658.37 / $658.37	Professional		$658.37	$658.37	$658.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,490.00 / $19,155.41	Facility		$2,224.00	$4,490.00	$19,155.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $865.24 / $1,345.92	Professional		$694.00	$865.24	$1,345.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.29 / $981.49 / $1,606.47	Professional		$701.29	$981.49	$1,606.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $592.00 / $1,024.45 / $5,039.02	Facility		$592.00	$1,024.45	$5,039.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.88 / $1,030.47 / $5,479.44	Professional		$727.88	$1,030.47	$5,479.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,913.00 / $4,432.00 / $12,989.00	Facility		$1,913.00	$4,432.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.84 / $960.89 / $1,592.95	Professional		$691.84	$960.89	$1,592.95