Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,715.35 / $7,943.28	Facility		$691.83	$3,715.35	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $3,467.37 / $5,248.07	Facility	50	$851.14	$3,467.37	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $794.33 / $3,311.31	Professional		$309.03	$794.33	$3,311.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $691.83 / $3,388.44	Professional	50	$263.03	$691.83	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $1,445.44	Professional		$147.91	$229.09	$1,445.44
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $501.19 / $2,137.96	Professional	50	$218.78	$501.19	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $10,000.00	Facility		$2,238.72	$4,677.35	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,230.27 / $2,818.38	Professional		$323.59	$1,230.27	$2,818.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.78 / $1,819.70 / $4,168.69	Professional	50	$489.78	$1,819.70	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $2,041.74 / $3,162.28	Professional		$346.74	$2,041.74	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,230.27 / $3,548.13	Professional		$407.38	$1,230.27	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,089.30 / $5,011.87	Facility		$380.19	$2,089.30	$5,011.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $14,454.40	Professional		$1,905.46	$3,090.30	$14,454.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $10,000.00	Facility		$2,884.03	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,698.24 / $3,467.37	Professional		$371.54	$1,698.24	$3,467.37