Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.62 / $3,057.00 / $7,365.00	Facility		$606.62	$3,057.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.95 / $577.20 / $1,015.53	Professional		$430.95	$577.20	$1,015.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $517.04 / $574.10 / $782.89	Professional		$517.04	$574.10	$782.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.36 / $581.26 / $920.77	Professional		$482.36	$581.26	$920.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $543.71 / $795.02 / $1,312.33	Professional		$543.71	$795.02	$1,312.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.19 / $861.90 / $3,006.00	Facility		$515.19	$861.90	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.76 / $1,032.78 / $4,985.76	Professional		$686.76	$1,032.78	$4,985.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $837.23 / $837.23 / $837.23	Professional		$837.23	$837.23	$837.23
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 $631.10 / $839.68 / $1,380.79	Professional		$631.10	$839.68	$1,380.79