Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.66 / $3,234.14 / $8,000.00	Facility		$705.66	$3,234.14	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $606.97 / $1,755.15	Professional		$249.60	$606.97	$1,755.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $571.64 / $858.16	Professional		$345.54	$571.64	$858.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,294.00 / $5,965.00 / $16,201.00	Facility		$2,294.00	$5,965.00	$16,201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.71 / $811.24 / $1,201.35	Professional		$628.71	$811.24	$1,201.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,813.00 / $9,841.00 / $14,444.00	Facility		$5,813.00	$9,841.00	$14,444.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.73 / $831.50 / $1,346.35	Professional		$593.73	$831.50	$1,346.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $952.93 / $9,679.00	Facility		$554.10	$952.93	$9,679.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $152.90 / $152.90 / $849.00	Facility	AS	$152.90	$152.90	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $600.96 / $873.29 / $4,528.97	Professional		$600.96	$873.29	$4,528.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $977.04 / $977.04 / $977.04	Professional		$977.04	$977.04	$977.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $5,937.00 / $12,989.00	Facility		$2,426.00	$5,937.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.90 / $783.86 / $1,329.91	Professional		$587.90	$783.86	$1,329.91