Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $426.58	Facility		$288.40	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $933.25	Professional		$275.42	$371.54	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $489.78	Professional		$426.58	$426.58	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,290.87	Facility		$645.65	$645.65	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $602.56	Professional		$338.84	$389.05	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $645.65	Professional		$389.05	$389.05	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $398.11	Facility		$323.59	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $398.11	Professional		$288.40	$288.40	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $1,412.54	Facility		$331.13	$512.86	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $4,168.69	Professional		$239.88	$323.59	$4,168.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $512.86	Facility		$416.87	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $478.63	Professional		$239.88	$316.23	$478.63