Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $450.82 / $3,701.00	Facility		$52.62	$450.82	$3,701.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $509.19 / $509.19 / $3,516.00	Facility	50	$509.19	$509.19	$3,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $56.19 / $180.00	Professional		$33.14	$56.19	$180.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $104.31 / $309.00	Professional	50	$71.09	$104.31	$309.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $57.98 / $76.41	Professional		$28.04	$57.98	$76.41
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $99.84 / $111.33 / $114.62	Professional	50	$99.84	$111.33	$114.62
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 $38.31 / $55.81 / $86.34	Professional		$38.31	$55.81	$86.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $57.46 / $83.71 / $129.51	Professional	50	$57.46	$83.71	$129.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $60.83 / $100.04	Professional		$39.94	$60.83	$100.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.69 / $61.67 / $247.00	Facility		$35.69	$61.67	$247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $77.95 / $400.96	Professional		$51.92	$77.95	$400.96
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $57.22 / $92.78 / $134.91	Professional	50	$57.22	$92.78	$134.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $87.87 / $87.87	Professional		$87.87	$87.87	$87.87
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $131.81 / $131.81 / $131.81	Professional	50	$131.81	$131.81	$131.81
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 $48.43 / $64.95 / $107.26	Professional		$48.43	$64.95	$107.26