Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.99 / $3,697.00 / $7,996.00	Facility		$396.99	$3,697.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $396.99 / $718.44	Professional		$251.75	$396.99	$718.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $115.01 / $376.51	Professional		$114.15	$115.01	$376.51
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 $467.02 / $644.05 / $956.76	Professional		$467.02	$644.05	$956.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $641.35 / $1,200.30	Professional		$311.88	$641.35	$1,200.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.86 / $571.04 / $3,006.00	Facility		$272.86	$571.04	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $633.61 / $1,004.07 / $4,561.17	Professional		$633.61	$1,004.07	$4,561.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $432.99 / $432.99 / $432.99	Professional		$432.99	$432.99	$432.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,833.00 / $5,813.00	Facility		$1,438.00	$2,833.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.40 / $819.50 / $1,395.79	Professional		$547.40	$819.50	$1,395.79