Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $462.64 / $3,907.00	Facility		$55.36	$462.64	$3,907.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $463.00 / $463.00 / $818.00	Facility	50	$463.00	$463.00	$818.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $70.00 / $276.00	Professional		$37.21	$70.00	$276.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $68.34 / $114.97 / $388.50	Professional	50	$68.34	$114.97	$388.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $63.33 / $86.59	Professional		$36.29	$63.33	$86.59
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $75.59 / $123.76 / $129.88	Professional	50	$75.59	$123.76	$129.88
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 $42.09 / $60.39 / $96.50	Professional		$42.09	$60.39	$96.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.13 / $90.58 / $144.75	Professional	50	$63.13	$90.58	$144.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $66.61 / $113.98	Professional		$43.37	$66.61	$113.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $68.14 / $247.00	Facility		$39.45	$68.14	$247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $83.13 / $613.73	Professional		$55.37	$83.13	$613.73
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $71.02 / $75.94 / $103.94	Professional	50	$71.02	$75.94	$103.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $94.96 / $94.96 / $94.97	Professional		$94.96	$94.96	$94.97
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $142.44 / $142.44 / $142.44	Professional	50	$142.44	$142.44	$142.44
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $760.00 / $1,300.00	Facility		$176.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $67.77 / $116.30	Professional		$51.87	$67.77	$116.30