Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $1,568.97 / $4,399.30	Facility		$91.48	$1,568.97	$4,399.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,378.19 / $2,378.19 / $2,616.01	Professional		$2,378.19	$2,378.19	$2,616.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,556.98 / $1,556.98 / $1,556.98	Professional		$1,556.98	$1,556.98	$1,556.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.91 / $859.71 / $1,353.86	Professional		$180.91	$859.71	$1,353.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,674.45 / $4,014.63 / $5,028.72	Facility		$1,674.45	$4,014.63	$5,028.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.00 / $1,443.41 / $2,300.00	Professional		$1,295.00	$1,443.41	$2,300.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $827.86 / $1,632.88 / $4,915.35	Facility		$827.86	$1,632.88	$4,915.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $1,064.48 / $7,344.00	Professional		$142.61	$1,064.48	$7,344.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,790.53 / $1,790.53 / $1,790.53	Professional		$1,790.53	$1,790.53	$1,790.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,033.84 / $4,262.71 / $8,225.03	Facility		$4,033.84	$4,262.71	$8,225.03
United Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $951.94 / $1,790.79	Professional		$142.61	$951.94	$1,790.79