Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.44 / $1,260.21 / $4,647.17	Facility		$700.44	$1,260.21	$4,647.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $1,214.63 / $1,457.56	Professional		$920.00	$1,214.63	$1,457.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $991.14 / $991.14 / $991.14	Professional		$991.14	$991.14	$991.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.95 / $2,064.87 / $3,196.91	Facility		$1,323.95	$2,064.87	$3,196.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,092.48 / $1,092.48 / $1,387.54	Professional		$1,092.48	$1,092.48	$1,387.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,457.56 / $5,203.28	Facility		$1,214.63	$1,457.56	$5,203.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,396.82	Professional		$485.85	$1,214.63	$1,396.82
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,405.33	Professional		$485.85	$1,214.63	$1,405.33