Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.50 / $4,753.00 / $11,224.00	Facility		$773.50	$4,753.00	$11,224.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,566.50 / $2,661.63 / $4,216.50	Facility	50	$2,566.50	$2,661.63	$4,216.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.62 / $731.46 / $2,711.00	Professional		$408.62	$731.46	$2,711.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.86 / $599.51 / $785.19	Professional		$320.86	$599.51	$785.19
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 $564.17 / $799.25 / $1,271.08	Professional		$564.17	$799.25	$1,271.08
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 $542.11 / $765.23 / $1,245.29	Professional		$542.11	$765.23	$1,245.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.42 / $919.12 / $8,957.00	Facility		$526.42	$919.12	$8,957.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $140.08 / $140.08 / $849.00	Facility	AS	$140.08	$140.08	$849.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.53 / $793.74 / $5,283.53	Professional		$540.53	$793.74	$5,283.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $893.03 / $893.03 / $893.03	Professional		$893.03	$893.03	$893.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $4,153.00 / $7,851.00	Facility		$2,120.00	$4,153.00	$7,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.70 / $703.75 / $1,162.24	Professional		$506.70	$703.75	$1,162.24