Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.25 / $3,131.00 / $7,996.00	Facility		$783.25	$3,131.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.48 / $761.72 / $2,152.07	Professional		$521.48	$761.72	$2,152.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $663.50 / $870.34 / $1,350.00	Professional		$663.50	$870.34	$1,350.00
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 $574.07 / $747.00 / $1,187.09	Professional		$574.07	$747.00	$1,187.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.63 / $1,060.13 / $1,915.29	Professional		$649.63	$1,060.13	$1,915.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $607.83 / $1,068.02 / $3,693.00	Facility		$607.83	$1,068.02	$3,693.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.97 / $275.97 / $275.97	Facility	AS	$275.97	$275.97	$275.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.72 / $1,563.68 / $7,591.84	Professional		$912.72	$1,563.68	$7,591.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,000.89 / $1,000.89 / $1,000.89	Professional		$1,000.89	$1,000.89	$1,000.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $6,854.00	Facility		$1,748.00	$3,502.00	$6,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.01 / $1,329.53 / $2,196.82	Professional		$866.01	$1,329.53	$2,196.82