Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.42 / $2,950.09 / $3,044.55	Facility		$1,994.42	$2,950.09	$3,044.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.42 / $2,285.28 / $4,155.05	Professional		$1,994.42	$2,285.28	$4,155.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,924.81 / $3,274.04 / $3,274.05	Professional		$2,924.81	$3,274.04	$3,274.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.39 / $4,583.66 / $20,150.64	Facility		$4,365.39	$4,583.66	$20,150.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,228.31 / $2,635.75 / $3,533.10	Professional		$2,228.31	$2,635.75	$3,533.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,871.59	Professional		$1,787.62	$1,787.62	$2,871.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,994.42 / $3,656.44 / $20,504.11	Facility		$1,994.42	$3,656.44	$20,504.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,629.27 / $2,333.46 / $3,875.36	Professional		$1,629.27	$2,333.46	$3,875.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,057.44 / $4,057.44 / $4,057.44	Professional		$4,057.44	$4,057.44	$4,057.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,629.27 / $2,194.39 / $3,095.61	Professional		$1,629.27	$2,194.39	$3,095.61