Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.84 / $2,215.00 / $7,843.00	Facility		$134.84	$2,215.00	$7,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $419.50 / $677.03	Professional		$111.93	$419.50	$677.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $348.38 / $348.38 / $348.38	Professional	50	$348.38	$348.38	$348.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $60.54 / $219.97	Professional		$60.54	$60.54	$219.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $329.95 / $329.95 / $775.47	Professional	50	$329.95	$329.95	$775.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,620.00 / $9,764.00 / $12,297.00	Facility		$3,620.00	$9,764.00	$12,297.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.35 / $291.32 / $855.35	Professional		$127.35	$291.32	$855.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.02 / $436.98 / $1,283.02	Professional	50	$191.02	$436.98	$1,283.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Facility		$181.74	$181.74	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $349.52 / $1,008.58	Professional		$125.40	$349.52	$1,008.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.22 / $520.49 / $1,217.24	Facility		$116.22	$520.49	$1,217.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $1,094.26 / $4,525.52	Professional		$542.79	$1,094.26	$4,525.52
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,795.00	Facility		$245.00	$875.00	$1,795.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.79 / $850.82 / $1,390.72	Professional		$542.79	$850.82	$1,390.72