Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.58 / $4,753.00 / $10,923.00	Facility		$748.58	$4,753.00	$10,923.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,302.50 / $2,302.50 / $2,302.50	Facility	50	$2,302.50	$2,302.50	$2,302.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.86 / $780.25 / $2,941.00	Professional		$505.86	$780.25	$2,941.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.33 / $656.08 / $891.19	Professional		$337.33	$656.08	$891.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,404.79 / $5,965.00 / $16,201.00	Facility		$2,404.79	$5,965.00	$16,201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.64 / $855.93 / $1,387.03	Professional		$584.64	$855.93	$1,387.03
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 $563.00 / $794.82 / $1,277.05	Professional		$563.00	$794.82	$1,277.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $558.05 / $951.63 / $8,957.00	Facility		$558.05	$951.63	$8,957.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $145.18 / $145.18 / $849.00	Facility	AS	$145.18	$145.18	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.07 / $852.27 / $6,386.47	Professional		$561.07	$852.27	$6,386.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $926.54 / $926.54 / $926.54	Professional		$926.54	$926.54	$926.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,926.00 / $7,851.00	Facility		$1,748.00	$3,926.00	$7,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $526.05 / $752.54 / $1,216.56	Professional		$526.05	$752.54	$1,216.56