Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.86 / $1,172.00 / $5,691.00	Facility		$59.86	$1,172.00	$5,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $818.00 / $894.00 / $1,872.00	Facility	50	$818.00	$894.00	$1,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $82.60 / $312.00	Professional		$51.90	$82.60	$312.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.38 / $182.91 / $535.50	Professional	50	$115.38	$182.91	$535.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $73.34 / $123.42	Professional		$35.26	$73.34	$123.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $132.68 / $159.29 / $181.42	Professional	50	$132.68	$159.29	$181.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $81.09 / $124.97	Professional		$60.49	$81.09	$124.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $90.73 / $121.65 / $187.45	Professional	50	$90.73	$121.65	$187.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $92.86 / $154.63	Professional		$62.56	$92.86	$154.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $96.12 / $258.85	Facility		$55.00	$96.12	$258.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.01 / $119.37 / $613.73	Professional		$79.01	$119.37	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $147.81 / $147.81 / $147.81	Professional	50	$147.81	$147.81	$147.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $93.25 / $134.19	Professional		$93.25	$93.25	$134.19
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $201.30 / $201.30 / $201.30	Professional	50	$201.30	$201.30	$201.30
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $875.00 / $1,795.00	Facility		$247.00	$875.00	$1,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $101.50 / $167.34	Professional		$73.08	$101.50	$167.34