Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $707.95	Facility		$630.96	$630.96	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,445.44	Professional		$512.86	$645.65	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $4,265.80	Facility		$1,230.27	$1,230.27	$4,265.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $1,122.02	Professional		$630.96	$645.65	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,230.27	Professional		$724.44	$724.44	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $5,623.41	Facility		$602.56	$954.99	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $6,025.60	Professional		$407.38	$588.84	$6,025.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,122.02	Professional		$1,096.48	$1,096.48	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $1,148.15	Facility		$489.78	$954.99	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $851.14	Professional		$416.87	$575.44	$851.14