Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.53 / $2,901.14 / $5,691.00	Facility		$233.53	$2,901.14	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $164.22 / $456.53	Professional		$143.88	$164.22	$456.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.06 / $196.12 / $196.12	Professional		$140.06	$196.12	$196.12
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 $161.04 / $207.36 / $340.29	Professional		$161.04	$207.36	$340.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,213.00 / $2,213.00 / $2,213.00	Facility		$2,213.00	$2,213.00	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.96 / $232.48 / $392.25	Professional		$156.96	$232.48	$392.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $241.42 / $2,672.00	Facility		$146.63	$241.42	$2,672.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $289.10 / $2,157.98	Professional		$162.52	$289.10	$2,157.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $260.14 / $260.14	Professional		$260.14	$260.14	$260.14
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 $153.80 / $230.78 / $372.34	Professional		$153.80	$230.78	$372.34