Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,412.54 / $5,623.41	Facility		$190.55	$1,412.54	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $758.58 / $3,981.07 / $7,762.47	Facility	50	$758.58	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $676.08	Professional		$169.82	$309.03	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $47.86 / $371.54 / $831.76	Professional	50	$47.86	$371.54	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $173.78 / $630.96	Professional	50	$109.65	$173.78	$630.96
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 $190.55 / $363.08 / $616.60	Professional		$190.55	$363.08	$616.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $549.54 / $933.25	Professional	50	$288.40	$549.54	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $524.81	Professional		$158.49	$288.40	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $645.65	Professional		$194.98	$371.54	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $588.84 / $16,218.10	Facility		$204.17	$588.84	$16,218.10
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $2,511.89 / $4,466.84	Facility	50	$1,737.80	$2,511.89	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $3,801.89	Professional		$288.40	$512.86	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $4,677.35	Facility		$1,819.70	$2,630.27	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $549.54	Professional		$194.98	$354.81	$549.54