Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.91 / $5,004.03 / $10,288.00	Facility		$1,468.91	$5,004.03	$10,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.85 / $1,493.04 / $2,702.38	Professional		$1,360.85	$1,493.04	$2,702.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,240.77 / $1,675.04 / $2,712.63	Professional		$1,240.77	$1,675.04	$2,712.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,500.00 / $9,854.00	Facility		$2,224.00	$4,500.00	$9,854.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,563.71 / $2,637.58	Professional		$1,295.00	$1,563.71	$2,637.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,909.39 / $11,777.00 / $13,730.00	Facility		$2,909.39	$11,777.00	$13,730.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.33 / $1,829.28 / $3,284.94	Professional		$1,046.33	$1,829.28	$3,284.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,468.91 / $3,797.00 / $11,258.00	Facility		$1,468.91	$3,797.00	$11,258.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $341.87 / $1,413.06 / $1,413.06	Facility	AS	$341.87	$1,413.06	$1,413.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,297.69 / $1,740.39 / $7,446.85	Professional		$1,297.69	$1,740.39	$7,446.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,858.00 / $4,000.00 / $10,781.00	Facility		$1,858.00	$4,000.00	$10,781.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.22 / $1,715.05 / $2,568.92	Professional		$1,288.22	$1,715.05	$2,568.92