Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.47 / $64.83 / $490.08	Facility		$45.47	$64.83	$490.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $75.48 / $333.98	Professional		$53.51	$75.48	$333.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.60 / $118.88 / $123.48	Professional	50	$112.60	$118.88	$123.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $66.33 / $109.53	Professional		$65.59	$66.33	$109.53
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 $56.67 / $80.55 / $119.93	Professional		$56.67	$80.55	$119.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.53 / $122.22 / $179.89	Professional	50	$83.53	$122.22	$179.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $95.47 / $159.19	Professional		$63.16	$95.47	$159.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94.16 / $285.89	Facility		$55.00	$94.16	$285.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $118.99 / $569.67	Professional		$78.31	$118.99	$569.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $125.96 / $125.96	Professional		$125.96	$125.96	$125.96
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 $71.68 / $99.12 / $161.08	Professional		$71.68	$99.12	$161.08