Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.60 / $860.28 / $887.82	Facility		$581.60	$860.28	$887.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.54 / $666.41 / $1,211.66	Professional		$472.54	$666.41	$1,211.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $852.91 / $852.91 / $954.75	Professional		$852.91	$852.91	$954.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.00 / $1,336.65 / $5,876.17	Facility		$1,273.00	$1,336.65	$5,876.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.42 / $581.25 / $1,029.91	Professional		$573.42	$581.25	$1,029.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $435.50	Professional		$435.50	$435.50	$435.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.66 / $956.66 / $5,050.38	Facility		$530.66	$956.66	$5,050.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $635.08 / $1,014.28	Professional		$423.39	$635.08	$1,014.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $878.37 / $878.37 / $878.37	Professional		$878.37	$878.37	$878.37
United Facility/Professional Facility Modifier Low / Median / High Price $629.41 / $717.49 / $1,018.40	Facility		$629.41	$717.49	$1,018.40
United Facility/Professional Professional Modifier Low / Median / High Price $423.39 / $635.08 / $850.58	Professional		$423.39	$635.08	$850.58