Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.84 / $1,944.00 / $7,996.00	Facility		$367.84	$1,944.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.92 / $404.73 / $841.59	Professional		$265.92	$404.73	$841.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.18 / $270.73 / $450.46	Professional		$163.18	$270.73	$450.46
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 $285.14 / $377.80 / $583.91	Professional		$285.14	$377.80	$583.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.07 / $511.64 / $916.62	Professional		$331.07	$511.64	$916.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.72 / $540.53 / $3,006.00	Facility		$310.72	$540.53	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $450.59 / $699.46 / $3,477.20	Professional		$450.59	$699.46	$3,477.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $518.03 / $518.03 / $518.03	Professional		$518.03	$518.03	$518.03
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 $419.15 / $587.34 / $990.10	Professional		$419.15	$587.34	$990.10