Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.13 / $3,120.00 / $7,365.00	Facility		$383.13	$3,120.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $400.77 / $727.44	Professional		$280.19	$400.77	$727.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.00 / $181.00 / $454.58	Professional		$181.00	$181.00	$454.58
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 $289.89 / $378.37 / $597.22	Professional		$289.89	$378.37	$597.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $514.71 / $913.23	Professional		$336.09	$514.71	$913.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.08 / $548.59 / $2,363.00	Facility		$312.08	$548.59	$2,363.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $453.04 / $702.36 / $3,425.36	Professional		$453.04	$702.36	$3,425.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $522.77 / $522.77 / $522.77	Professional		$522.77	$522.77	$522.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,261.00 / $3,071.00	Facility		$1,216.00	$2,261.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.56 / $599.41 / $1,000.50	Professional		$429.56	$599.41	$1,000.50