Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.49 / $818.00 / $3,803.81	Facility		$48.49	$818.00	$3,803.81
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,491.00 / $1,491.00 / $1,491.00	Facility	50	$1,491.00	$1,491.00	$1,491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.49 / $56.05 / $201.49	Professional		$34.49	$56.05	$201.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $74.34 / $74.34	Professional		$51.86	$74.34	$74.34
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 $39.65 / $57.42 / $87.92	Professional		$39.65	$57.42	$87.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $63.02 / $106.40	Professional		$41.54	$63.02	$106.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $66.08 / $875.00	Facility		$37.33	$66.08	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $83.62 / $613.73	Professional		$55.02	$83.62	$613.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $85.49 / $85.49	Professional		$85.49	$85.49	$85.49
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $65.67 / $107.84	Professional		$43.08	$65.67	$107.84