Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,365.16 / $9,120.11	Facility		$707.95	$4,365.16	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $5,128.61 / $9,120.11	Facility	50	$3,090.30	$5,128.61	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $2,398.83	Professional		$478.63	$794.33	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $741.31	Professional		$426.58	$575.44	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $8,912.51	Facility		$2,238.72	$4,786.30	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,023.29	Professional		$489.78	$616.60	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $870.96	Professional		$524.81	$616.60	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $9,549.93 / $11,481.54	Facility		$5,754.40	$9,549.93	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $6,918.31	Facility		$489.78	$794.33	$6,918.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $131.83 / $912.01 / $912.01	Facility	AS	$131.83	$912.01	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $4,073.80	Professional		$489.78	$758.58	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,370.32	Facility		$2,137.96	$3,019.95	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $1,047.13	Professional		$467.74	$645.65	$1,047.13