Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.13 / $130.50 / $704.63	Facility		$28.13	$130.50	$704.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $321.39 / $505.79 / $942.40	Facility	50	$321.39	$505.79	$942.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $78.52 / $155.85	Professional		$25.05	$78.52	$155.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $97.92 / $97.92	Professional		$97.92	$97.92	$97.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $32.61 / $56.84	Professional		$20.76	$32.61	$56.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $31.14 / $48.93 / $85.27	Professional	50	$31.14	$48.93	$85.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $76.31 / $163.21	Professional		$27.31	$76.31	$163.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $86.67 / $261.00	Facility		$27.04	$86.67	$261.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $420.67 / $420.67 / $420.67	Facility	50	$420.67	$420.67	$420.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $125.13 / $659.52	Professional		$75.79	$125.13	$659.52
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $815.00 / $1,300.00	Facility		$176.00	$815.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $110.00 / $179.66	Professional		$68.90	$110.00	$179.66