Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.63 / $3,697.00 / $7,365.00	Facility		$495.63	$3,697.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.92 / $445.09 / $842.75	Professional		$317.92	$445.09	$842.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $488.92 / $553.41	Professional		$419.08	$488.92	$553.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $411.81 / $663.01	Professional		$291.00	$411.81	$663.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.22 / $577.52 / $1,027.42	Professional		$394.22	$577.52	$1,027.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.16 / $628.27 / $3,006.00	Facility		$376.16	$628.27	$3,006.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $177.12 / $177.12	Facility	AS	$177.12	$177.12	$177.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.42 / $785.40 / $3,979.84	Professional		$481.42	$785.40	$3,979.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $636.42 / $636.42 / $636.42	Professional		$636.42	$636.42	$636.42
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 $465.66 / $634.27 / $1,123.31	Professional		$465.66	$634.27	$1,123.31