Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.08 / $5,144.00 / $9,937.62	Facility		$1,270.08	$5,144.00	$9,937.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,753.00 / $4,753.00 / $4,753.00	Facility	22	$4,753.00	$4,753.00	$4,753.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.11 / $1,400.00 / $4,584.00	Professional		$910.11	$1,400.00	$4,584.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $935.35 / $1,280.49 / $1,613.25	Professional		$935.35	$1,280.49	$1,613.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,294.00 / $5,890.00 / $14,079.00	Facility		$2,294.00	$5,890.00	$14,079.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,066.45 / $1,408.37 / $2,073.52	Professional		$1,066.45	$1,408.37	$2,073.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,214.00 / $12,223.00 / $17,752.00	Facility		$6,214.00	$12,223.00	$17,752.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.05 / $1,439.14 / $2,304.46	Professional		$1,034.05	$1,439.14	$2,304.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $994.52 / $1,661.25 / $19,067.25	Facility		$994.52	$1,661.25	$19,067.25
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $272.26 / $272.26 / $1,887.52	Facility	AS	$272.26	$272.26	$1,887.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,059.75 / $1,505.97 / $7,887.28	Professional		$1,059.75	$1,505.97	$7,887.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,751.83 / $1,751.83 / $1,751.83	Professional		$1,751.83	$1,751.83	$1,751.83
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 $1,003.98 / $1,399.99 / $2,287.23	Professional		$1,003.98	$1,399.99	$2,287.23