Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.02 / $3,307.00 / $7,996.00	Facility		$1,438.02	$3,307.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.02 / $1,386.46 / $3,620.05	Professional		$1,159.02	$1,386.46	$3,620.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,768.84 / $1,768.84 / $1,954.90	Professional		$1,768.84	$1,768.84	$1,954.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,286.00 / $9,663.00	Facility		$2,088.00	$4,286.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.89 / $1,600.00 / $2,625.80	Professional		$1,298.89	$1,600.00	$2,625.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,976.00 / $6,378.00 / $8,227.00	Facility		$4,976.00	$6,378.00	$8,227.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.09 / $1,850.63 / $2,961.74	Professional		$1,321.09	$1,850.63	$2,961.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,268.69 / $2,079.69 / $33,500.00	Facility		$1,268.69	$2,079.69	$33,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.47 / $1,943.55 / $10,099.68	Professional		$1,350.47	$1,943.55	$10,099.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,248.14 / $2,248.14 / $2,248.14	Professional		$2,248.14	$2,248.14	$2,248.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $4,463.00 / $12,989.00	Facility		$2,426.00	$4,463.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.50 / $1,789.59 / $2,873.79	Professional		$1,288.50	$1,789.59	$2,873.79