Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $177.83 / $1,202.26	Facility		$51.29	$177.83	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $302.00	Professional		$48.98	$93.33	$302.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $117.49 / $323.59	Professional	50	$117.49	$117.49	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $85.11	Professional		$41.69	$69.18	$85.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	50	$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $93.33	Professional		$46.77	$63.10	$93.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $95.50 / $141.25	Professional	50	$70.79	$95.50	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $107.15	Professional		$50.12	$81.28	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $144.54	Professional		$53.70	$81.28	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $83.18 / $501.19	Facility		$48.98	$83.18	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $549.54	Professional		$66.07	$104.71	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $691.83 / $1,380.38	Facility		$120.23	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $114.82	Professional		$46.77	$70.79	$114.82