Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.03 / $1,130.21 / $4,908.00	Facility		$99.03	$1,130.21	$4,908.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.88 / $2,019.00 / $4,390.68	Facility	50	$1,106.88	$2,019.00	$4,390.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $136.66 / $478.11	Professional		$69.45	$136.66	$478.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.60 / $228.62 / $717.17	Professional	50	$122.60	$228.62	$717.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $120.83 / $169.58	Professional		$118.84	$120.83	$169.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $181.25 / $181.25 / $286.47	Professional	50	$181.25	$181.25	$286.47
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 $81.25 / $103.90 / $229.00	Professional		$81.25	$103.90	$229.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.69 / $155.85 / $343.50	Professional	50	$119.69	$155.85	$343.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $533.00 / $600.00	Facility		$520.00	$533.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $169.83 / $337.32	Professional		$89.30	$169.83	$337.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $179.72 / $834.75	Facility		$83.18	$179.72	$834.75
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $138.13 / $138.13 / $983.74	Facility	50	$138.13	$138.13	$983.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $250.28 / $2,255.51	Professional		$162.16	$250.28	$2,255.51
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $138.54 / $138.54 / $138.54	Professional	50	$138.54	$138.54	$138.54
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 $152.91 / $211.00 / $341.12	Professional		$152.91	$211.00	$341.12