Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $676.08 / $676.08	Facility		$457.09	$676.08	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,445.44	Professional		$416.87	$549.54	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $776.25	Professional		$676.08	$676.08	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $3,548.13	Facility		$1,023.29	$1,023.29	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $933.25	Professional		$537.03	$575.44	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,023.29	Professional		$616.60	$616.60	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $588.84	Facility		$501.19	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $2,238.72	Facility		$524.81	$794.33	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $6,165.95	Professional		$363.08	$512.86	$6,165.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $794.33	Facility		$616.60	$794.33	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $724.44	Professional		$363.08	$501.19	$724.44