Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $775.05 / $3,789.03	Facility		$75.52	$775.05	$3,789.03
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $416.54 / $743.89 / $3,621.00	Facility	50	$416.54	$743.89	$3,621.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $18.98 / $27.17 / $33.65	Facility	52	$18.98	$27.17	$33.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $71.68 / $251.94	Professional		$41.28	$71.68	$251.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.84 / $120.82 / $361.25	Professional	50	$72.84	$120.82	$361.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.76 / $67.47 / $92.33	Professional		$49.76	$67.47	$92.33
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $78.20 / $106.30 / $138.50	Professional	50	$78.20	$106.30	$138.50
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 $49.09 / $70.87 / $109.40	Professional		$49.09	$70.87	$109.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.63 / $106.30 / $164.10	Professional	50	$73.63	$106.30	$164.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $76.15 / $126.13	Professional		$51.71	$76.15	$126.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $84.89 / $875.00	Facility		$45.45	$84.89	$875.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $870.68 / $870.68 / $870.68	Facility	50	$870.68	$870.68	$870.68
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $164.70 / $164.70 / $164.70	Facility	52	$164.70	$164.70	$164.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $95.82 / $482.48	Professional		$63.88	$95.82	$482.48
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $77.95 / $86.52 / $128.18	Professional	50	$77.95	$86.52	$128.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $83.46 / $105.56	Professional		$74.45	$83.46	$105.56
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $111.70 / $111.70 / $158.34	Professional	50	$111.70	$111.70	$158.34
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 $58.72 / $81.97 / $130.94	Professional		$58.72	$81.97	$130.94
United Facility/Professional Professional Modifier 50 Low / Median / High Price $80.00 / $85.00 / $136.40	Professional	50	$80.00	$85.00	$136.40