Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.50 / $3,829.00 / $8,000.00	Facility		$622.50	$3,829.00	$8,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,708.00 / $10,709.00 / $10,923.00	Facility	50	$4,708.00	$10,709.00	$10,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $521.85 / $2,230.00	Professional		$428.85	$521.85	$2,230.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.74 / $568.86 / $805.44	Professional		$369.74	$568.86	$805.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,357.00 / $5,965.00 / $16,201.00	Facility		$2,357.00	$5,965.00	$16,201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $622.87 / $925.94	Professional		$505.00	$622.87	$925.94
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 $467.49 / $675.40 / $1,110.45	Professional		$467.49	$675.40	$1,110.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.04 / $799.62 / $7,110.00	Facility		$479.04	$799.62	$7,110.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $703.41 / $3,839.44	Professional		$483.06	$703.41	$3,839.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $425.20 / $425.20 / $425.20	Professional		$425.20	$425.20	$425.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $7,134.00	Facility		$1,748.00	$3,502.00	$7,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.14 / $641.84 / $1,093.51	Professional		$477.14	$641.84	$1,093.51