Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.50 / $2,672.86 / $9,304.00	Facility		$314.50	$2,672.86	$9,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $295.87 / $1,309.99	Professional		$157.72	$295.87	$1,309.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $197.63 / $257.39	Professional		$155.85	$197.63	$257.39
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 $185.25 / $398.94 / $1,269.05	Professional		$185.25	$398.94	$1,269.05
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 $175.58 / $253.60 / $998.56	Professional		$175.58	$253.60	$998.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $350.40 / $7,210.00	Facility		$169.34	$350.40	$7,210.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $93.90 / $93.90 / $236.38	Facility	AS	$93.90	$93.90	$236.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $323.35 / $5,110.16	Professional		$175.81	$323.35	$5,110.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $280.05 / $280.05 / $280.05	Professional		$280.05	$280.05	$280.05
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $1,261.00 / $7,851.00	Facility		$245.00	$1,261.00	$7,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.83 / $248.15 / $725.70	Professional		$164.83	$248.15	$725.70