Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.73 / $579.42 / $597.98	Facility		$391.73	$579.42	$597.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.73 / $463.44 / $816.10	Professional		$391.73	$463.44	$816.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.47 / $643.07 / $643.07	Professional		$574.47	$643.07	$643.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.42 / $900.29 / $3,957.85	Facility		$857.42	$900.29	$3,957.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.96 / $462.16 / $693.69	Professional		$456.96	$462.16	$693.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $707.13	Professional		$484.22	$484.22	$707.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.73 / $691.00 / $4,017.59	Facility		$391.73	$691.00	$4,017.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $463.40 / $811.29	Professional		$316.20	$463.40	$811.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $738.69 / $738.69 / $738.69	Professional		$738.69	$738.69	$738.69
United Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $428.69 / $630.35	Professional		$316.20	$428.69	$630.35