Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.50 / $3,214.00 / $12,174.00	Facility		$758.50	$3,214.00	$12,174.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,492.00 / $1,517.00 / $5,436.00	Facility	50	$1,492.00	$1,517.00	$5,436.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $1,323.25 / $2,091.48	Professional		$285.26	$1,323.25	$2,091.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $240.05 / $592.99 / $2,360.30	Professional	50	$240.05	$592.99	$2,360.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.90 / $205.90 / $2,173.17	Professional		$205.90	$205.90	$2,173.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $308.85 / $308.85 / $3,259.76	Professional	50	$308.85	$308.85	$3,259.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,214.00 / $10,043.00	Facility		$2,088.00	$4,214.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.64 / $1,108.08 / $2,563.09	Professional		$311.64	$1,108.08	$2,563.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $467.46 / $1,662.14 / $3,844.63	Professional	50	$467.46	$1,662.14	$3,844.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $558.72 / $558.72	Facility		$558.72	$558.72	$558.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.15 / $993.84 / $2,945.03	Professional		$359.15	$993.84	$2,945.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.05 / $1,714.66 / $4,138.27	Facility		$346.05	$1,714.66	$4,138.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.77 / $2,756.67 / $12,114.16	Professional		$1,646.77	$2,756.67	$12,114.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $4,463.00 / $12,989.00	Facility		$2,209.00	$4,463.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,635.03 / $2,305.21 / $4,208.22	Professional		$1,635.03	$2,305.21	$4,208.22