Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.66 / $2,945.00 / $7,365.00	Facility		$455.66	$2,945.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.63 / $413.77 / $957.88	Professional		$293.63	$413.77	$957.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.54 / $506.98 / $673.41	Professional		$433.54	$506.98	$673.41
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 $309.67 / $407.00 / $652.99	Professional		$309.67	$407.00	$652.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.31 / $543.44 / $933.55	Professional		$356.31	$543.44	$933.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.20 / $554.60 / $1,592.16	Facility		$310.20	$554.60	$1,592.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $718.73 / $3,572.40	Professional		$463.20	$718.73	$3,572.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $282.00 / $282.00 / $282.00	Professional		$282.00	$282.00	$282.00
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 $429.61 / $588.28 / $1,011.13	Professional		$429.61	$588.28	$1,011.13