Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $2,511.89 / $11,220.18	Facility		$208.93	$2,511.89	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $10,964.78 / $11,748.98	Facility	50	$1,621.81	$10,964.78	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $602.56	Professional		$154.88	$275.42	$602.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $501.19 / $1,380.38	Professional	50	$354.81	$501.19	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $371.54	Professional		$158.49	$245.47	$371.54
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $446.68 / $602.56	Professional	50	$288.40	$446.68	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $10,000.00	Facility		$2,238.72	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $457.09	Professional		$186.21	$288.40	$457.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $275.42 / $436.52 / $676.08	Professional	50	$275.42	$436.52	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $389.05	Professional		$144.54	$263.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $13,182.57 / $17,782.79	Facility		$11,481.54	$13,182.57	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $512.86	Professional		$181.97	$309.03	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $489.78 / $16,218.10	Facility		$194.98	$489.78	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $467.74 / $3,388.44	Professional		$263.03	$467.74	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,019.95	Facility		$1,071.52	$1,380.38	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $457.09	Professional		$177.83	$275.42	$457.09