Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Facility		$524.81	$524.81	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,202.26	Professional		$426.58	$537.03	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Professional		$676.08	$676.08	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $3,630.78	Facility		$1,023.29	$1,023.29	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $954.99	Professional		$512.86	$549.54	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Professional		$512.86	$512.86	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $812.83 / $4,677.35	Facility		$501.19	$812.83	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $5,128.61	Professional		$354.81	$501.19	$5,128.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Professional		$933.25	$933.25	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $954.99	Facility		$416.87	$812.83	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $724.44	Professional		$354.81	$489.78	$724.44