Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $102.25 / $722.91	Facility		$26.60	$102.25	$722.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $138.02 / $955.95 / $2,439.67	Facility	50	$138.02	$955.95	$2,439.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $49.12 / $109.06	Professional		$26.41	$49.12	$109.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.36 / $120.65 / $379.50	Professional	50	$77.36	$120.65	$379.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $58.91 / $88.13	Professional		$51.98	$58.91	$88.13
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 $28.92 / $44.73 / $70.33	Professional		$28.92	$44.73	$70.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.38 / $67.09 / $105.49	Professional	50	$43.38	$67.09	$105.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $62.58 / $113.67	Professional		$31.44	$62.58	$113.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $63.20 / $247.00	Facility		$27.59	$63.20	$247.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $91.79 / $474.72	Professional		$55.59	$91.79	$474.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $101.35 / $101.35	Professional		$101.35	$101.35	$101.35
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 $51.97 / $74.08 / $128.19	Professional		$51.97	$74.08	$128.19