Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $4,470.00 / $12,107.00	Facility		$1,258.00	$4,470.00	$12,107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.07 / $1,237.95 / $2,659.52	Professional		$1,035.07	$1,237.95	$2,659.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,747.01 / $1,747.01 / $1,747.01	Professional		$1,747.01	$1,747.01	$1,747.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,404.79 / $6,196.00 / $16,201.00	Facility		$2,404.79	$6,196.00	$16,201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.29 / $1,519.91 / $2,325.77	Professional		$1,232.29	$1,519.91	$2,325.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,994.00 / $14,356.00 / $20,252.00	Facility		$7,994.00	$14,356.00	$20,252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.96 / $1,636.40 / $2,685.66	Professional		$1,172.96	$1,636.40	$2,685.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.58 / $1,901.20 / $33,500.00	Facility		$1,138.58	$1,901.20	$33,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,207.82 / $1,713.13 / $9,345.25	Professional		$1,207.82	$1,713.13	$9,345.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,009.06 / $2,009.06 / $2,009.06	Professional		$2,009.06	$2,009.06	$2,009.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,426.00 / $5,900.00 / $12,989.00	Facility		$2,426.00	$5,900.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,147.21 / $1,572.66 / $2,713.85	Professional		$1,147.21	$1,572.66	$2,713.85