Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $308.83 / $537.20	Facility		$69.68	$308.83	$537.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $91.88 / $314.54	Professional		$57.03	$91.88	$314.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $343.22 / $343.22 / $343.22	Professional	50	$343.22	$343.22	$343.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $96.62 / $135.09	Professional		$76.98	$96.62	$135.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $76.00 / $114.51	Professional		$60.33	$76.00	$114.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.30 / $114.00 / $171.76	Professional	50	$91.30	$114.00	$171.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $100.70 / $175.64	Professional		$68.33	$100.70	$175.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $104.72 / $293.83	Facility		$57.01	$104.72	$293.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $128.03 / $659.04	Professional		$86.17	$128.03	$659.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $145.72 / $145.72	Professional		$145.72	$145.72	$145.72
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $875.00 / $1,712.58	Facility		$176.00	$875.00	$1,712.58
United Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $104.94 / $179.16	Professional		$79.70	$104.94	$179.16