Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.54 / $3,010.00 / $7,365.00	Facility		$496.54	$3,010.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $275.72 / $692.45	Professional		$162.75	$275.72	$692.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $286.98 / $286.98	Professional		$286.98	$286.98	$286.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,508.00 / $3,523.00	Facility		$770.00	$1,508.00	$3,523.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.16 / $327.79 / $659.97	Professional		$190.16	$327.79	$659.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.00 / $2,769.00 / $4,641.00	Facility		$2,213.00	$2,769.00	$4,641.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.93 / $364.20 / $798.03	Professional		$182.93	$364.20	$798.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.46 / $415.93 / $1,289.38	Facility		$170.46	$415.93	$1,289.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.69 / $833.35 / $3,314.00	Professional		$263.69	$833.35	$3,314.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $330.03 / $330.03	Professional		$330.03	$330.03	$330.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,332.00 / $3,041.00	Facility		$1,380.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.13 / $563.66 / $1,085.83	Professional		$263.13	$563.66	$1,085.83