Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.89 / $4,489.00 / $8,000.00	Facility		$1,172.89	$4,489.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.40 / $828.62 / $1,650.73	Professional		$583.40	$828.62	$1,650.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $860.19 / $860.19 / $868.17	Professional		$860.19	$860.19	$868.17
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 $573.52 / $791.98 / $1,216.83	Professional		$573.52	$791.98	$1,216.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.86 / $1,083.75 / $1,875.07	Professional		$647.86	$1,083.75	$1,875.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.53 / $1,111.25 / $3,693.00	Facility		$600.53	$1,111.25	$3,693.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $275.06 / $275.06 / $275.06	Facility	AS	$275.06	$275.06	$275.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.19 / $1,505.45 / $7,524.00	Professional		$945.19	$1,505.45	$7,524.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $998.40 / $998.40 / $998.40	Professional		$998.40	$998.40	$998.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,527.00 / $6,944.00	Facility		$1,748.00	$3,527.00	$6,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.17 / $1,216.29 / $2,121.10	Professional		$840.17	$1,216.29	$2,121.10