Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,174.27 / $3,216.10 / $3,319.10	Facility		$2,174.27	$3,216.10	$3,319.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,174.27 / $2,491.35 / $4,529.72	Professional		$2,174.27	$2,491.35	$4,529.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,188.55 / $3,188.55 / $3,569.27	Professional		$3,188.55	$3,188.55	$3,569.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,759.03 / $4,996.97 / $21,967.68	Facility		$4,759.03	$4,996.97	$21,967.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,322.37 / $2,469.21 / $3,850.26	Professional		$2,322.37	$2,469.21	$3,850.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $1,861.53 / $2,990.32	Professional		$1,861.53	$1,861.53	$2,990.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,174.27 / $3,835.41 / $21,140.73	Facility		$2,174.27	$3,835.41	$21,140.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,696.63 / $2,572.09 / $4,418.97	Professional		$1,696.63	$2,572.09	$4,418.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,441.30 / $5,441.30 / $6,529.56	Facility		$5,441.30	$5,441.30	$6,529.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,696.63 / $2,374.23 / $3,370.11	Professional		$1,696.63	$2,374.23	$3,370.11