Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.65 / $3,119.00 / $7,178.98	Facility		$805.65	$3,119.00	$7,178.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.13 / $622.35 / $1,532.91	Professional		$505.13	$622.35	$1,532.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $516.48 / $697.48 / $919.47	Professional		$516.48	$697.48	$919.47
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 $564.45 / $691.73 / $1,060.69	Professional		$564.45	$691.73	$1,060.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $776.52 / $1,253.92	Professional		$544.62	$776.52	$1,253.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.36 / $912.26 / $5,246.20	Facility		$555.36	$912.26	$5,246.20
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $156.88 / $156.88 / $497.27	Facility	AS	$156.88	$156.88	$497.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $928.56 / $5,838.31	Professional		$601.64	$928.56	$5,838.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $772.14 / $772.14 / $995.11	Professional		$772.14	$772.14	$995.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.72 / $802.66 / $1,275.39	Professional		$556.72	$802.66	$1,275.39