Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.55 / $1,491.00 / $5,389.00	Facility		$197.55	$1,491.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,173.00 / $3,727.50 / $7,843.00	Facility	50	$1,173.00	$3,727.50	$7,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $187.44 / $900.00	Professional		$64.12	$187.44	$900.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.62 / $606.12 / $1,921.94	Professional	50	$130.62	$606.12	$1,921.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $75.52 / $98.15	Professional		$58.47	$75.52	$98.15
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 $71.68 / $99.30 / $142.28	Professional		$71.68	$99.30	$142.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.53 / $148.94 / $213.42	Professional	50	$107.53	$148.94	$213.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $179.22 / $425.71	Professional		$76.70	$179.22	$425.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $210.15 / $581.12	Facility		$61.58	$210.15	$581.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.49 / $360.24 / $3,229.91	Professional		$220.49	$360.24	$3,229.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $112.87 / $112.87	Professional		$112.87	$112.87	$112.87
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 $208.43 / $275.10 / $477.08	Professional		$208.43	$275.10	$477.08