Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,754.23 / $11,220.18	Facility		$281.84	$2,754.23	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,754.23 / $10,964.78	Facility	50	$851.14	$2,754.23	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $977.24	Professional		$223.87	$331.13	$977.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $426.58 / $851.14	Professional	50	$223.87	$426.58	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $501.19	Professional		$109.65	$190.55	$501.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $190.55 / $512.86	Professional	50	$147.91	$190.55	$512.86
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 $288.40 / $416.87 / $630.96	Professional		$288.40	$416.87	$630.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $426.58 / $630.96 / $954.99	Professional	50	$426.58	$630.96	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $416.87	Professional		$229.09	$257.04	$416.87
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 $263.03 / $416.87 / $660.69	Professional		$263.03	$416.87	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,698.24 / $26,302.68	Facility		$275.42	$1,698.24	$26,302.68
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	50	$3,388.44	$3,388.44	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $5,248.07	Professional		$269.15	$426.58	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $5,623.41	Facility		$1,819.70	$2,818.38	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $537.03	Professional		$257.04	$363.08	$537.03