Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,831.26 / $2,708.74 / $2,795.49	Facility		$1,831.26	$2,708.74	$2,795.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,831.26 / $2,098.32 / $3,815.13	Professional		$1,831.26	$2,098.32	$3,815.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,685.53 / $2,685.53 / $3,006.20	Professional		$2,685.53	$2,685.53	$3,006.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,008.26 / $4,208.67 / $18,502.13	Facility		$4,008.26	$4,208.67	$18,502.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,037.35 / $2,148.37 / $3,242.86	Professional		$2,037.35	$2,148.37	$3,242.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,533.03	Professional		$1,576.85	$1,576.85	$2,533.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,831.26 / $3,230.34 / $18,029.93	Facility		$1,831.26	$3,230.34	$18,029.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,437.18 / $2,142.58 / $3,638.91	Professional		$1,437.18	$2,142.58	$3,638.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,307.19 / $3,307.19 / $3,307.19	Professional		$3,307.19	$3,307.19	$3,307.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.18 / $2,014.87 / $2,861.35	Professional		$1,437.18	$2,014.87	$2,861.35