Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $407.38 / $4,897.79	Facility		$58.88	$407.38	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $134.90 / $281.84	Professional		$61.66	$134.90	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	50	$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $125.89	Professional	52	$54.95	$54.95	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $144.54	Professional		$77.62	$100.00	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $169.82	Professional		$63.10	$87.10	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.33 / $128.82 / $257.04	Professional	50	$93.33	$128.82	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $141.25	Professional		$63.10	$109.65	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $208.93	Professional		$69.18	$117.49	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $117.49 / $891.25	Facility		$54.95	$117.49	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $851.14	Professional		$95.50	$144.54	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $691.83 / $1,380.38	Facility		$151.36	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $158.49	Professional		$60.26	$100.00	$158.49