Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $19,498.45 / $19,498.45	Facility		$13,182.57	$19,498.45	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $15,488.17 / $41,686.94	Professional		$12,302.69	$15,488.17	$41,686.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $21,379.62 / $21,877.62	Professional		$19,498.45	$21,379.62	$21,877.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $102,329.30	Facility		$29,512.09	$29,512.09	$102,329.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $17,378.01 / $26,915.35	Professional		$15,135.61	$17,378.01	$26,915.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $29,512.09	Professional		$17,782.79	$17,782.79	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $16,218.10	Professional		$11,748.98	$11,748.98	$16,218.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $22,908.68 / $64,565.42	Facility		$14,454.40	$22,908.68	$64,565.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $14,454.40 / $144,543.98	Professional		$10,232.93	$14,454.40	$144,543.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,908.68 / $27,542.29	Facility		$16,982.44	$22,908.68	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $14,454.40 / $20,417.38	Professional		$10,232.93	$14,454.40	$20,417.38