Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.55 / $587.55 / $3,196.24	Facility		$587.55	$587.55	$3,196.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.52 / $2,522.96 / $21,273.60	Professional		$821.52	$2,522.96	$21,273.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.94 / $310.94 / $538.41	Professional		$310.94	$310.94	$538.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $592.33 / $592.33 / $592.33	Professional	50	$592.33	$592.33	$592.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $8,217.00 / $16,952.00	Facility		$2,232.00	$8,217.00	$16,952.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.12 / $2,230.84 / $6,424.90	Professional		$504.12	$2,230.84	$6,424.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $756.18 / $3,346.26 / $9,637.35	Professional	50	$756.18	$3,346.26	$9,637.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.50 / $824.50 / $5,563.44	Professional		$824.50	$824.50	$5,563.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $507.04 / $3,577.26 / $15,920.00	Facility		$507.04	$3,577.26	$15,920.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $217.54 / $217.54 / $217.54	Facility	AS	$217.54	$217.54	$217.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,012.08 / $7,676.84 / $23,107.71	Professional		$4,012.08	$7,676.84	$23,107.71
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $2,660.48 / $2,660.48 / $2,660.48	Professional	50	$2,660.48	$2,660.48	$2,660.48
United Facility/Professional Professional Modifier Low / Median / High Price $3,942.47 / $6,489.37 / $13,103.60	Professional		$3,942.47	$6,489.37	$13,103.60