Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,238.04 / $1,831.26 / $1,889.90	Facility		$1,238.04	$1,831.26	$1,889.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,224.17 / $1,418.58 / $2,579.23	Professional		$1,224.17	$1,418.58	$2,579.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,815.57 / $1,815.57 / $1,815.57	Professional		$1,815.57	$1,815.57	$1,815.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,709.81 / $2,845.30 / $12,508.48	Facility		$2,709.81	$2,845.30	$12,508.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.74 / $1,317.91 / $2,192.35	Professional		$1,304.74	$1,317.91	$2,192.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,705.66	Professional		$1,167.99	$1,167.99	$1,705.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,211.16 / $2,183.89 / $11,580.89	Facility		$1,211.16	$2,183.89	$11,580.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $903.15 / $1,432.15 / $2,184.96	Professional		$903.15	$1,432.15	$2,184.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,350.60 / $2,350.60 / $2,350.60	Professional		$2,350.60	$2,350.60	$2,350.60
United Facility/Professional Professional Modifier Low / Median / High Price $901.26 / $1,351.90 / $1,918.95	Professional		$901.26	$1,351.90	$1,918.95