Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.00 / $3,214.00 / $8,000.00	Facility		$746.00	$3,214.00	$8,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $575.00 / $1,783.50 / $8,307.00	Facility	50	$575.00	$1,783.50	$8,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,435.98 / $1,935.10	Professional		$284.02	$1,435.98	$1,935.10
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $628.94 / $1,152.83 / $1,152.83	Professional	50	$628.94	$1,152.83	$1,152.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,032.94 / $1,032.94 / $1,032.94	Professional		$1,032.94	$1,032.94	$1,032.94
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 $310.52 / $1,099.39 / $2,420.77	Professional		$310.52	$1,099.39	$2,420.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $465.79 / $1,649.09 / $3,631.15	Professional	50	$465.79	$1,649.09	$3,631.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.70 / $1,027.11 / $2,815.07	Professional		$357.70	$1,027.11	$2,815.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.26 / $1,630.90 / $3,757.91	Facility		$343.26	$1,630.90	$3,757.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $2,736.64 / $11,504.00	Professional		$1,578.92	$2,736.64	$11,504.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,700.00 / $6,944.00	Facility		$1,708.00	$3,700.00	$6,944.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,578.92 / $2,264.98 / $3,770.40	Professional		$1,578.92	$2,264.98	$3,770.40