Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.05 / $867.89 / $4,111.00	Facility		$84.05	$867.89	$4,111.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $556.17 / $1,033.00 / $5,549.10	Facility	50	$556.17	$1,033.00	$5,549.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.19 / $100.35 / $321.60	Professional		$56.19	$100.35	$321.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.96 / $237.82 / $648.00	Professional	50	$138.96	$237.82	$648.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $104.76 / $144.05	Professional		$67.98	$104.76	$144.05
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $101.99 / $159.13 / $220.50	Professional	50	$101.99	$159.13	$220.50
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 $58.54 / $83.79 / $143.56	Professional		$58.54	$83.79	$143.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.82 / $125.68 / $215.34	Professional	50	$87.82	$125.68	$215.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $111.17 / $178.67	Professional		$67.27	$111.17	$178.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $108.38 / $383.00	Facility		$56.51	$108.38	$383.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $134.05 / $739.52	Professional		$92.11	$134.05	$739.52
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $130.01 / $177.95 / $182.36	Professional	50	$130.01	$177.95	$182.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $160.43 / $160.43	Professional		$97.72	$160.43	$160.43
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 $88.98 / $119.44 / $198.90	Professional		$88.98	$119.44	$198.90