Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,265.80 / $8,511.38	Facility		$645.65	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,023.29	Professional		$426.58	$562.34	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.83 / $1,862.09 / $1,862.09	Professional	50	$691.83	$1,862.09	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $758.58	Professional		$407.38	$524.81	$758.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $794.33 / $1,122.02	Professional	50	$602.56	$794.33	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,148.15	Facility		$724.44	$724.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,513.56	Professional		$389.05	$575.44	$1,513.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $26,302.68	Facility		$478.63	$1,288.25	$26,302.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $5,623.41	Professional		$467.74	$660.69	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,677.35	Facility		$1,737.80	$2,398.83	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $891.25	Professional		$398.11	$524.81	$891.25