Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.66 / $2,782.00 / $7,365.00	Facility		$676.66	$2,782.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.35 / $501.08 / $1,438.86	Professional		$419.35	$501.08	$1,438.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.90 / $365.33 / $788.39	Professional		$329.90	$365.33	$788.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.95 / $596.32 / $889.11	Professional		$482.95	$596.32	$889.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.18 / $654.37 / $1,088.03	Professional		$469.18	$654.37	$1,088.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.38 / $756.19 / $5,620.00	Facility		$463.38	$756.19	$5,620.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $132.63 / $132.63 / $497.27	Facility	AS	$132.63	$132.63	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $502.55 / $768.71 / $5,389.20	Professional		$502.55	$768.71	$5,389.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $838.50 / $838.50 / $838.50	Professional		$838.50	$838.50	$838.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,018.00 / $6,526.11	Facility		$1,694.00	$3,018.00	$6,526.11
United Facility/Professional Professional Modifier Low / Median / High Price $471.29 / $675.61 / $1,080.33	Professional		$471.29	$675.61	$1,080.33