Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.28 / $2,665.88 / $2,751.26	Facility		$1,802.28	$2,665.88	$2,751.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,802.28 / $2,134.63 / $3,754.76	Professional		$1,802.28	$2,134.63	$3,754.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,958.63 / $2,958.63 / $2,958.63	Professional		$2,958.63	$2,958.63	$2,958.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,944.84 / $4,142.08 / $18,209.38	Facility		$3,944.84	$4,142.08	$18,209.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,131.81 / $2,846.56 / $3,244.78	Professional		$2,131.81	$2,846.56	$3,244.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,909.47	Professional		$1,811.20	$1,811.20	$2,909.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,834.17 / $3,349.60 / $20,983.29	Facility		$1,834.17	$3,349.60	$20,983.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,640.03 / $2,151.64 / $3,809.97	Professional		$1,640.03	$2,151.64	$3,809.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,248.72 / $4,248.72 / $4,248.72	Professional		$4,248.72	$4,248.72	$4,248.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.65 / $2,964.57 / $3,155.87	Facility		$2,600.65	$2,964.57	$3,155.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,540.95 / $1,982.99 / $3,032.69	Professional		$1,540.95	$1,982.99	$3,032.69