Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $2,507.00 / $6,284.00	Facility		$339.00	$2,507.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.02 / $335.14 / $807.90	Professional		$219.02	$335.14	$807.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $211.67 / $409.96	Professional		$176.03	$211.67	$409.96
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 $231.35 / $293.42 / $471.68	Professional		$231.35	$293.42	$471.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $432.18 / $753.67	Professional		$260.52	$432.18	$753.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $241.79 / $434.78 / $3,006.00	Facility		$241.79	$434.78	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $573.83 / $2,815.04	Professional		$368.54	$573.83	$2,815.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $404.86 / $404.86 / $404.86	Professional		$404.86	$404.86	$404.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.43 / $1,908.00 / $5,200.00	Facility		$1,204.43	$1,908.00	$5,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $467.05 / $787.25	Professional		$350.74	$467.05	$787.25