Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $426.58	Facility		$288.40	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $758.58	Professional		$269.15	$363.08	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $524.81	Professional		$389.05	$436.52	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,238.72	Facility		$645.65	$645.65	$2,238.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $380.19 / $602.56	Professional		$346.74	$380.19	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $457.09 / $457.09	Facility		$288.40	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $1,412.54	Facility		$331.13	$512.86	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $3,981.07	Professional		$234.42	$331.13	$3,981.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $758.58	Professional		$741.31	$741.31	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $501.19	Facility		$398.11	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $467.74	Professional		$234.42	$316.23	$467.74