Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $677.94 / $699.65	Facility		$458.33	$677.94	$699.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.33 / $525.16 / $954.85	Professional		$458.33	$525.16	$954.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.14 / $672.14 / $752.39	Professional		$672.14	$672.14	$752.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.19 / $1,053.34 / $4,630.72	Facility		$1,003.19	$1,053.34	$4,630.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.54 / $566.70 / $811.62	Professional		$489.54	$566.70	$811.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $425.95 / $622.03	Professional		$425.95	$425.95	$622.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $458.33 / $808.49 / $4,826.53	Facility		$458.33	$808.49	$4,826.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $542.17 / $996.06	Professional		$388.22	$542.17	$996.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,145.47 / $1,145.47 / $1,145.47	Professional		$1,145.47	$1,145.47	$1,145.47
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $381.94 / $507.41 / $717.88	Professional		$381.94	$507.41	$717.88