Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.45 / $3,589.00 / $12,915.74	Facility		$853.45	$3,589.00	$12,915.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,491.00 / $4,931.00 / $13,681.00	Facility	50	$3,491.00	$4,931.00	$13,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.11 / $635.32 / $1,121.77	Professional		$486.11	$635.32	$1,121.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $733.84 / $833.54 / $1,030.29	Professional		$733.84	$833.54	$1,030.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $2,728.00 / $16,201.00	Facility		$862.00	$2,728.00	$16,201.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.76 / $699.23 / $1,118.08	Professional		$552.76	$699.23	$1,118.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,488.00 / $13,882.00 / $15,775.00	Facility		$7,488.00	$13,882.00	$15,775.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.75 / $915.59 / $1,391.33	Professional		$485.75	$915.59	$1,391.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.32 / $1,164.96 / $12,067.29	Facility		$542.32	$1,164.96	$12,067.29
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $164.32 / $826.90 / $826.90	Facility	AS	$164.32	$826.90	$826.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $577.02 / $912.41 / $4,805.92	Professional		$577.02	$912.41	$4,805.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,959.00 / $5,829.00	Facility		$1,644.00	$2,959.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.02 / $853.38 / $1,320.41	Professional		$577.02	$853.38	$1,320.41