Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.72 / $3,907.00 / $7,996.00	Facility		$693.72	$3,907.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.45 / $585.92 / $1,560.50	Professional		$490.45	$585.92	$1,560.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.79 / $417.79 / $417.79	Professional		$417.79	$417.79	$417.79
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 $538.00 / $666.69 / $1,029.58	Professional		$538.00	$666.69	$1,029.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.30 / $760.79 / $1,244.09	Professional		$545.30	$760.79	$1,244.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.63 / $878.90 / $8,957.00	Facility		$533.63	$878.90	$8,957.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $793.72 / $4,338.47	Professional		$567.41	$793.72	$4,338.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $480.46 / $480.46 / $480.46	Professional		$480.46	$480.46	$480.46
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 $537.54 / $727.27 / $1,188.53	Professional		$537.54	$727.27	$1,188.53