Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.85 / $1,760.00 / $7,365.00	Facility		$431.85	$1,760.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.27 / $445.25 / $819.91	Professional		$314.27	$445.25	$819.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $524.30 / $524.30	Professional		$315.58	$524.30	$524.30
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 $332.19 / $441.00 / $689.75	Professional		$332.19	$441.00	$689.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.88 / $590.28 / $1,015.14	Professional		$385.88	$590.28	$1,015.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.88 / $610.07 / $3,006.00	Facility		$361.88	$610.07	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $500.40 / $784.67 / $3,867.52	Professional		$500.40	$784.67	$3,867.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $602.96 / $602.96 / $602.96	Professional		$602.96	$602.96	$602.96
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 $487.84 / $672.10 / $1,101.77	Professional		$487.84	$672.10	$1,101.77