Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $687.88 / $4,263.35	Facility		$55.49	$687.88	$4,263.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.50 / $1,295.88 / $3,516.00	Facility	50	$204.50	$1,295.88	$3,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $61.21 / $155.69	Professional		$35.85	$61.21	$155.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.32 / $116.75 / $409.50	Professional	50	$61.32	$116.75	$409.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $53.13 / $77.91	Professional		$41.87	$53.13	$77.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $68.95 / $116.29 / $116.87	Professional	50	$68.95	$116.29	$116.87
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 $40.02 / $58.94 / $92.52	Professional		$40.02	$58.94	$92.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.95 / $88.41 / $138.78	Professional	50	$59.95	$88.41	$138.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $65.20 / $104.51	Professional		$41.99	$65.20	$104.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $70.90 / $815.00	Facility		$37.36	$70.90	$815.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,007.76 / $1,007.76 / $1,007.76	Facility	50	$1,007.76	$1,007.76	$1,007.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $81.39 / $411.20	Professional		$53.77	$81.39	$411.20
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $89.54 / $115.22 / $138.26	Professional	50	$89.54	$115.22	$138.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $89.60 / $89.60	Professional		$61.10	$89.60	$89.60
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $134.40 / $134.40 / $134.40	Professional	50	$134.40	$134.40	$134.40
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 $49.47 / $67.65 / $116.36	Professional		$49.47	$67.65	$116.36