Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.30 / $3,131.00 / $7,365.00	Facility		$406.30	$3,131.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.20 / $413.74 / $825.46	Professional		$289.20	$413.74	$825.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.94 / $244.34 / $483.87	Professional		$241.94	$244.34	$483.87
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 $308.87 / $409.00 / $637.08	Professional		$308.87	$409.00	$637.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $537.11 / $962.97	Professional		$359.31	$537.11	$962.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.39 / $575.19 / $3,006.00	Facility		$336.39	$575.19	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.20 / $738.48 / $3,632.56	Professional		$471.20	$738.48	$3,632.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $280.99 / $280.99	Professional		$280.99	$280.99	$280.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,874.00 / $5,813.00	Facility		$1,438.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $443.22 / $614.39 / $1,034.86	Professional		$443.22	$614.39	$1,034.86