Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.35 / $3,131.00 / $9,947.04	Facility		$553.35	$3,131.00	$9,947.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.31 / $553.41 / $1,073.06	Professional		$399.31	$553.41	$1,073.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $406.32 / $406.32 / $675.76	Professional		$406.32	$406.32	$675.76
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 $455.60 / $579.00 / $882.18	Professional		$455.60	$579.00	$882.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.11 / $743.09 / $1,287.69	Professional		$499.11	$743.09	$1,287.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $471.70 / $792.35 / $3,700.00	Facility		$471.70	$792.35	$3,700.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $215.87 / $215.87 / $215.87	Facility	AS	$215.87	$215.87	$215.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.95 / $989.82 / $4,899.60	Professional		$635.95	$989.82	$4,899.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $777.12 / $777.12 / $777.12	Professional		$777.12	$777.12	$777.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,347.00 / $6,854.00	Facility		$1,708.00	$3,347.00	$6,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $819.13 / $1,393.23	Professional		$617.78	$819.13	$1,393.23