Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,584.89 / $5,370.32	Facility		$117.49	$1,584.89	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,174.90 / $3,715.35 / $7,762.47	Facility	50	$1,174.90	$3,715.35	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $186.21 / $549.54	Professional		$66.07	$186.21	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $131.83 / $245.47 / $1,905.46	Professional	50	$131.83	$245.47	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $162.18 / $295.12	Professional		$47.86	$162.18	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,570.88 / $8,912.51	Facility		$2,238.72	$4,570.88	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $147.91	Professional		$72.44	$93.33	$147.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $141.25 / $218.78	Professional	50	$109.65	$141.25	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $213.80 / $331.13	Professional		$61.66	$213.80	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $186.21 / $416.87	Professional		$75.86	$186.21	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $208.93 / $660.69	Facility		$60.26	$208.93	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $3,235.94	Professional		$213.80	$371.54	$3,235.94
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $354.81 / $380.19	Professional		$112.20	$354.81	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $707.95 / $1,778.28	Facility		$269.15	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $190.55 / $363.08	Professional		$72.44	$190.55	$363.08