Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.59 / $3,213.00 / $7,365.00	Facility		$503.59	$3,213.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.56 / $415.25 / $631.66	Professional		$285.56	$415.25	$631.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.07 / $477.07 / $477.07	Professional		$477.07	$477.07	$477.07
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 $302.01 / $400.44 / $618.91	Professional		$302.01	$400.44	$618.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.73 / $548.76 / $948.11	Professional		$351.73	$548.76	$948.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.58 / $570.57 / $3,006.00	Facility		$329.58	$570.57	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.06 / $730.18 / $3,629.12	Professional		$471.06	$730.18	$3,629.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $548.63 / $548.63 / $548.63	Professional		$548.63	$548.63	$548.63
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 $441.46 / $630.89 / $998.05	Professional		$441.46	$630.89	$998.05