Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.61 / $501.61 / $668.26	Facility		$501.61	$501.61	$668.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $519.85 / $788.89	Professional		$428.62	$519.85	$788.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $641.98 / $641.98 / $718.64	Professional		$641.98	$641.98	$718.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.18 / $1,006.09 / $4,422.96	Facility		$958.18	$1,006.09	$4,422.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.12 / $537.21 / $775.21	Professional		$463.12	$537.21	$775.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $397.66 / $638.79	Professional		$397.66	$397.66	$638.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.57 / $775.56 / $4,222.76	Facility		$445.57	$775.56	$4,222.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.28 / $478.03 / $1,164.67	Professional		$333.28	$478.03	$1,164.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $737.52 / $737.52 / $737.52	Professional		$737.52	$737.52	$737.52
United Facility/Professional Professional Modifier Low / Median / High Price $331.34 / $466.59 / $704.25	Professional		$331.34	$466.59	$704.25