Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.14 / $2,507.00 / $7,194.00	Facility		$576.14	$2,507.00	$7,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.55 / $634.91 / $1,824.35	Professional		$423.55	$634.91	$1,824.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $667.70 / $700.75	Professional		$473.30	$667.70	$700.75
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 $447.10 / $583.29 / $908.15	Professional		$447.10	$583.29	$908.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.49 / $809.79 / $1,419.00	Professional		$501.49	$809.79	$1,419.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $835.30 / $3,006.00	Facility		$466.83	$835.30	$3,006.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $213.75 / $213.75 / $213.75	Facility	AS	$213.75	$213.75	$213.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $689.11 / $1,068.18 / $5,127.76	Professional		$689.11	$1,068.18	$5,127.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $773.28 / $773.28 / $773.28	Professional		$773.28	$773.28	$773.28
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 $642.67 / $899.73 / $1,461.27	Professional		$642.67	$899.73	$1,461.27