Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.25 / $3,697.00 / $7,996.00	Facility		$643.25	$3,697.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.96 / $544.46 / $824.75	Professional		$408.96	$544.46	$824.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $709.20 / $709.20 / $709.20	Professional		$709.20	$709.20	$709.20
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 $386.51 / $519.71 / $820.65	Professional		$386.51	$519.71	$820.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $719.99 / $1,222.75	Professional		$505.20	$719.99	$1,222.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.79 / $774.96 / $3,006.00	Facility		$462.79	$774.96	$3,006.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $580.70 / $991.40 / $4,876.64	Professional		$580.70	$991.40	$4,876.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $815.58 / $815.58 / $815.58	Professional		$815.58	$815.58	$815.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,742.00 / $2,566.31 / $5,200.00	Facility		$1,742.00	$2,566.31	$5,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.39 / $766.90 / $1,254.44	Professional		$512.39	$766.90	$1,254.44