Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $1,760.00 / $6,284.00	Facility		$48.75	$1,760.00	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $59.98 / $246.42	Professional		$37.01	$59.98	$246.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $105.79 / $109.95	Professional	50	$73.20	$105.79	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $62.15 / $94.57	Professional		$49.43	$62.15	$94.57
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 $42.76 / $61.13 / $92.82	Professional		$42.76	$61.13	$92.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.14 / $91.69 / $139.22	Professional	50	$64.14	$91.69	$139.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $67.09 / $112.43	Professional		$44.10	$67.09	$112.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $66.37 / $245.00	Facility		$39.45	$66.37	$245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $84.85 / $429.84	Professional		$57.74	$84.85	$429.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $94.33 / $94.33	Professional		$94.33	$94.33	$94.33
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 $53.08 / $74.18 / $118.15	Professional		$53.08	$74.18	$118.15