Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,715.35 / $12,882.50	Facility		$1,258.93	$3,715.35	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $3,388.44	Professional		$1,096.48	$1,479.11	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,218.10	Facility		$2,511.89	$6,606.93	$16,218.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,398.83	Professional		$1,230.27	$1,548.82	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,862.09	Professional		$1,122.02	$1,380.38	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $14,454.40 / $20,417.38	Facility		$7,943.28	$14,454.40	$20,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,691.53	Professional		$1,122.02	$1,621.81	$2,691.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $33,884.42	Facility		$1,122.02	$2,089.30	$33,884.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $9,332.54	Professional		$1,148.15	$1,698.24	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $11,481.54	Facility		$2,884.03	$4,570.88	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,290.87	Professional		$1,071.52	$1,445.44	$2,290.87