Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.50 / $2,984.00 / $7,156.00	Facility		$387.50	$2,984.00	$7,156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $734.44 / $1,430.36	Professional		$258.88	$734.44	$1,430.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.24 / $215.36 / $365.50	Professional		$122.24	$215.36	$365.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $5,084.00	Facility		$821.00	$1,963.00	$5,084.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.87 / $613.27 / $1,214.45	Professional		$296.87	$613.27	$1,214.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $574.30 / $1,524.36	Professional		$283.64	$574.30	$1,524.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.10 / $1,107.97 / $7,767.00	Facility		$311.10	$1,107.97	$7,767.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $116.26 / $116.26 / $116.26	Facility	AS	$116.26	$116.26	$116.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $836.20 / $1,629.73 / $5,987.20	Professional		$836.20	$1,629.73	$5,987.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,502.00 / $5,877.00	Facility		$1,708.00	$3,502.00	$5,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.20 / $1,173.31 / $2,491.78	Professional		$836.20	$1,173.31	$2,491.78