Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,023.29	Facility		$912.01	$912.01	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $2,089.30	Professional		$831.76	$954.99	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,348.96	Professional		$1,148.15	$1,288.25	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $6,165.95	Facility		$1,778.28	$1,778.28	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,659.59	Professional		$912.01	$1,122.02	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,778.28	Professional		$1,047.13	$1,047.13	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,047.13	Professional		$758.58	$758.58	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,445.44 / $3,890.45	Facility		$933.25	$1,445.44	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $10,715.19	Professional		$660.69	$851.14	$10,715.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,380.38 / $1,778.28	Facility		$758.58	$1,380.38	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26