Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $482.05 / $642.21	Facility		$149.56	$482.05	$642.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.05 / $499.58 / $762.52	Professional		$482.05	$499.58	$762.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.96 / $616.96 / $616.96	Professional		$616.96	$616.96	$616.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.83 / $966.87 / $4,250.55	Facility		$920.83	$966.87	$4,250.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $557.09 / $745.33	Professional		$492.35	$557.09	$745.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $741.71	Professional		$461.73	$461.73	$741.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.05 / $745.32 / $4,802.66	Facility		$482.05	$745.32	$4,802.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $459.39 / $1,119.26	Professional		$380.60	$459.39	$1,119.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $970.81 / $970.81 / $970.81	Professional		$970.81	$970.81	$970.81
United Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $459.39 / $887.82	Professional		$359.70	$459.39	$887.82