Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $977.24 / $977.24	Facility		$660.69	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $2,089.30	Professional		$630.96	$870.96	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,096.48	Professional		$954.99	$954.99	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $5,128.61	Facility		$1,479.11	$1,479.11	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,348.96	Professional		$831.76	$870.96	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,479.11	Professional		$891.25	$891.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,202.26	Facility		$724.44	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,202.26	Professional		$870.96	$870.96	$1,202.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $3,467.37	Facility		$758.58	$1,148.15	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $9,549.93	Professional		$549.54	$776.25	$9,549.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,148.15	Facility		$954.99	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,096.48	Professional		$549.54	$724.44	$1,096.48