Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.49 / $4,470.00 / $12,154.00	Facility		$865.49	$4,470.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.77 / $727.75 / $1,136.67	Professional		$608.77	$727.75	$1,136.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.62 / $622.62 / $622.62	Professional		$622.62	$622.62	$622.62
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 $710.24 / $909.92 / $1,350.07	Professional		$710.24	$909.92	$1,350.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.27 / $987.81 / $1,550.28	Professional		$685.27	$987.81	$1,550.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $1,076.31 / $4,250.00	Facility		$608.20	$1,076.31	$4,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $711.41 / $1,022.88 / $5,488.46	Professional		$711.41	$1,022.88	$5,488.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $4,432.00 / $12,989.00	Facility		$2,209.00	$4,432.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.50 / $929.40 / $1,532.11	Professional		$666.50	$929.40	$1,532.11