Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $211.58 / $1,194.00	Facility		$51.64	$211.58	$1,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $72.06 / $259.36	Professional		$44.76	$72.06	$259.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $71.91 / $105.98	Professional		$53.87	$71.91	$105.98
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $91.96 / $91.96 / $91.96	Professional	50	$91.96	$91.96	$91.96
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 $47.00 / $61.67 / $93.71	Professional		$47.00	$61.67	$93.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.50 / $93.60 / $140.56	Professional	50	$70.50	$93.60	$140.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $82.72 / $145.26	Professional		$54.68	$82.72	$145.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.64 / $83.66 / $245.00	Facility		$49.64	$83.66	$245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $104.83 / $544.96	Professional		$67.66	$104.83	$544.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $120.81 / $120.81	Professional		$120.81	$120.81	$120.81
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 $66.20 / $88.25 / $148.69	Professional		$66.20	$88.25	$148.69