Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.29 / $3,067.00 / $7,365.00	Facility		$515.29	$3,067.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.38 / $465.56 / $878.74	Professional		$339.38	$465.56	$878.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $553.28 / $553.28 / $555.99	Professional		$553.28	$553.28	$555.99
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 $371.96 / $453.56 / $719.78	Professional		$371.96	$453.56	$719.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.21 / $620.16 / $1,039.81	Professional		$419.21	$620.16	$1,039.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.39 / $666.47 / $3,006.00	Facility		$396.39	$666.47	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $526.26 / $807.12 / $4,671.34	Professional		$526.26	$807.12	$4,671.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $639.39 / $639.39 / $639.39	Professional		$639.39	$639.39	$639.39
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 $497.93 / $690.72 / $1,136.23	Professional		$497.93	$690.72	$1,136.23