Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $1,096.48 / $4,897.79	Facility		$54.95	$1,096.48	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $2,344.23 / $3,548.13	Facility	50	$204.17	$2,344.23	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $208.93	Professional		$37.15	$74.13	$208.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $131.83 / $407.38	Professional	50	$75.86	$131.83	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $74.13	Professional		$30.20	$50.12	$74.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $85.11 / $117.49	Professional	50	$35.48	$85.11	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $93.33	Professional		$40.74	$58.88	$93.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.26 / $89.13 / $141.25	Professional	50	$60.26	$89.13	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $77.62	Professional		$33.88	$57.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $97.72	Professional		$40.74	$63.10	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $75.86 / $1,096.48	Facility		$37.15	$75.86	$1,096.48
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	50	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $407.38	Professional		$51.29	$81.28	$407.38
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $63.10 / $114.82 / $208.93	Professional	50	$63.10	$114.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,412.54	Facility		$223.87	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $89.13	Professional		$36.31	$53.70	$89.13