Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,847.99 / $2,733.48 / $2,821.01	Facility		$1,847.99	$2,733.48	$2,821.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,832.74 / $2,117.48 / $3,849.97	Professional		$1,832.74	$2,117.48	$3,849.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,710.06 / $2,710.06 / $3,033.65	Professional		$2,710.06	$2,710.06	$3,033.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,044.87 / $4,247.10 / $18,671.12	Facility		$4,044.87	$4,247.10	$18,671.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,974.14 / $2,055.03 / $3,272.47	Professional		$1,974.14	$2,055.03	$3,272.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,814.37	Professional		$1,752.00	$1,752.00	$2,814.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,832.53 / $3,259.84 / $17,077.79	Facility		$1,832.53	$3,259.84	$17,077.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,366.51 / $2,166.90 / $3,559.14	Professional		$1,366.51	$2,166.90	$3,559.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,163.52 / $3,163.52 / $3,163.52	Professional		$3,163.52	$3,163.52	$3,163.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.51 / $2,017.94 / $2,702.67	Professional		$1,366.51	$2,017.94	$2,702.67