Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.30 / $1,376.00 / $5,389.00	Facility		$171.30	$1,376.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $528.39 / $528.39 / $5,058.66	Facility	50	$528.39	$528.39	$5,058.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $138.69 / $424.64	Professional		$46.48	$138.69	$424.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $17.57 / $17.57 / $100.74	Professional	50	$17.57	$17.57	$100.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $62.01 / $136.08	Professional		$42.97	$62.01	$136.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.45 / $64.45 / $64.45	Professional	50	$64.45	$64.45	$64.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,214.00 / $10,011.00	Facility		$2,088.00	$4,214.00	$10,011.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $69.27 / $108.05	Professional		$52.46	$69.27	$108.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.69 / $103.89 / $162.07	Professional	50	$78.69	$103.89	$162.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $84.79	Facility		$84.79	$84.79	$84.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $149.72 / $296.31	Professional		$57.98	$149.72	$296.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.42 / $147.08 / $367.00	Facility		$50.42	$147.08	$367.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $257.37 / $1,786.65	Professional		$156.99	$257.37	$1,786.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $83.08 / $83.08	Professional		$83.08	$83.08	$83.08
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $201.55 / $327.02	Professional		$154.13	$201.55	$327.02