Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,426.61 / $2,110.19 / $2,177.77	Facility		$1,426.61	$2,110.19	$2,177.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.61 / $1,634.66 / $2,972.09	Professional		$1,426.61	$1,634.66	$2,972.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,092.11 / $2,092.11 / $2,341.91	Professional		$2,092.11	$2,092.11	$2,341.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,122.55 / $3,278.68 / $14,413.69	Facility		$3,122.55	$3,278.68	$14,413.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,599.68 / $1,972.92 / $2,568.42	Professional		$1,599.68	$1,972.92	$2,568.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,257.05 / $2,019.28	Professional		$1,257.05	$1,257.05	$2,019.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,451.84 / $2,516.53 / $14,785.52	Facility		$1,451.84	$2,516.53	$14,785.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,669.13 / $2,857.19	Professional		$1,145.70	$1,669.13	$2,857.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,045.35 / $3,045.35 / $3,045.35	Professional		$3,045.35	$3,045.35	$3,045.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,674.38 / $3,674.38 / $4,409.26	Facility		$3,674.38	$3,674.38	$4,409.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,569.65 / $2,229.08	Professional		$1,145.70	$1,569.65	$2,229.08