Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,659.59 / $5,623.41	Facility		$56.23	$1,659.59	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $354.81 / $5,623.41	Facility	50	$354.81	$354.81	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $114.82 / $316.23	Professional		$51.29	$114.82	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $263.03 / $524.81	Professional	50	$114.82	$263.03	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $144.54	Professional		$75.86	$95.50	$144.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $190.55 / $190.55 / $190.55	Professional	50	$190.55	$190.55	$190.55
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 $50.12 / $74.13 / $128.82	Professional		$50.12	$74.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $109.65 / $194.98	Professional	50	$75.86	$109.65	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $128.82	Professional		$46.77	$91.20	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $165.96	Professional		$57.54	$95.50	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $1,380.38	Facility		$52.48	$97.72	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $676.08	Professional		$77.62	$120.23	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,047.13 / $2,238.72	Facility		$524.81	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $134.90	Professional		$51.29	$81.28	$134.90