Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.85 / $658.85 / $877.75	Facility		$658.85	$658.85	$877.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.85 / $706.76 / $1,042.17	Professional		$658.85	$706.76	$1,042.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $817.22 / $817.22 / $817.22	Professional		$817.22	$817.22	$817.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.55 / $1,321.48 / $5,809.47	Facility		$1,258.55	$1,321.48	$5,809.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.13 / $828.15 / $1,035.20	Professional		$659.13	$828.15	$1,035.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.42 / $840.60 / $840.60	Facility		$829.42	$840.60	$840.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $896.12	Professional		$613.64	$613.64	$896.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.85 / $1,018.67 / $6,648.31	Facility		$658.85	$1,018.67	$6,648.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.20 / $627.88 / $1,529.75	Professional		$520.20	$627.88	$1,529.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,216.55 / $1,216.55 / $1,216.55	Professional		$1,216.55	$1,216.55	$1,216.55
United Facility/Professional Professional Modifier Low / Median / High Price $483.77 / $627.88 / $967.54	Professional		$483.77	$627.88	$967.54