Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $190.74 / $716.67	Facility		$52.89	$190.74	$716.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $450.98 / $461.04 / $1,512.00	Facility	50	$450.98	$461.04	$1,512.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $67.68 / $277.00	Professional		$37.53	$67.68	$277.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $57.95 / $97.09	Professional		$36.75	$57.95	$97.09
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 $39.86 / $53.08 / $78.89	Professional		$39.86	$53.08	$78.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $59.67 / $79.62 / $118.33	Professional	50	$59.67	$79.62	$118.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $73.56 / $130.28	Professional		$44.61	$73.56	$130.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $72.06 / $245.00	Facility		$40.69	$72.06	$245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $98.44 / $503.28	Professional		$65.68	$98.44	$503.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.37 / $110.37 / $110.37	Professional		$110.37	$110.37	$110.37
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 $44.80 / $73.37 / $119.25	Professional		$44.80	$73.37	$119.25