Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.69 / $2,543.71 / $2,625.16	Facility		$1,719.69	$2,543.71	$2,625.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.69 / $1,970.48 / $3,582.69	Professional		$1,719.69	$1,970.48	$3,582.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,521.92 / $2,521.92 / $2,823.05	Professional		$2,521.92	$2,521.92	$2,823.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,764.06 / $3,952.26 / $17,374.90	Facility		$3,764.06	$3,952.26	$17,374.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,836.82 / $2,063.67 / $3,045.29	Professional		$1,836.82	$2,063.67	$3,045.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,117.90 / $2,117.90 / $2,117.90	Facility		$2,117.90	$2,117.90	$2,117.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.07 / $1,546.07 / $1,546.07	Professional		$1,546.07	$1,546.07	$1,546.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,719.69 / $3,033.51 / $17,754.05	Facility		$1,719.69	$3,033.51	$17,754.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,409.12 / $2,012.02 / $3,600.78	Professional		$1,409.12	$2,012.02	$3,600.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,118.26 / $3,118.26 / $3,118.26	Professional		$3,118.26	$3,118.26	$3,118.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.12 / $1,877.84 / $2,605.67	Professional		$1,409.12	$1,877.84	$2,605.67