Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,918.31 / $13,489.63	Facility		$1,659.59	$6,918.31	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,096.48 / $3,311.31	Professional		$630.96	$1,096.48	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $954.99	Professional		$524.81	$630.96	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $6,309.57 / $12,589.25	Facility		$2,818.38	$6,309.57	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,348.96	Professional		$691.83	$891.25	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,122.02	Professional		$645.65	$776.25	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $12,589.25 / $14,791.08	Facility		$4,365.16	$12,589.25	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,380.38	Professional		$602.56	$870.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $10,232.93	Facility		$630.96	$1,023.29	$10,232.93
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $1,318.26 / $12,302.69 / $12,302.69	Facility	52	$1,318.26	$12,302.69	$12,302.69
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $331.13 / $3,090.30 / $3,090.30	Facility	53	$331.13	$3,090.30	$3,090.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $1,548.82 / $1,548.82	Facility	AS	$165.96	$1,548.82	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $5,011.87	Professional		$645.65	$1,047.13	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $11,481.54	Facility		$2,884.03	$4,466.84	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,348.96	Professional		$602.56	$831.76	$1,348.96