Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $2,691.53	Facility		$1,819.70	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $5,754.40	Professional		$1,819.70	$2,344.23	$5,754.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,019.95	Professional		$2,630.27	$2,630.27	$3,019.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $14,125.38	Facility		$3,981.07	$3,981.07	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,715.35	Professional		$2,187.76	$2,884.03	$3,715.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Professional		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Professional		$1,819.70	$1,819.70	$2,454.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $8,912.51	Facility		$2,089.30	$3,311.31	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $26,915.35	Professional		$1,513.56	$2,137.96	$26,915.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,162.28 / $3,981.07	Facility		$2,630.27	$3,162.28	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,019.95	Professional		$1,513.56	$1,949.84	$3,019.95