Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.89 / $326.89 / $435.51	Facility		$326.89	$326.89	$435.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.89 / $343.24 / $517.10	Professional		$326.89	$343.24	$517.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.39 / $418.39 / $468.35	Professional		$418.39	$418.39	$468.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.46 / $655.68 / $2,882.51	Facility		$624.46	$655.68	$2,882.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $376.03 / $505.40	Professional		$347.28	$376.03	$505.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $382.28	Professional		$382.28	$382.28	$382.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.89 / $505.44 / $3,359.73	Facility		$326.89	$505.44	$3,359.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.10 / $311.54 / $759.02	Professional		$258.10	$311.54	$759.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $574.51 / $574.51 / $574.51	Professional		$574.51	$574.51	$574.51
United Facility/Professional Professional Modifier Low / Median / High Price $240.03 / $311.54 / $602.07	Professional		$240.03	$311.54	$602.07