Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,951.21 / $14,125.38	Facility		$588.84	$2,951.21	$14,125.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	50	$2,630.27	$2,630.27	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $616.60 / $1,584.89	Professional		$245.47	$616.60	$1,584.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	50	$630.96	$630.96	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $691.83	Professional		$114.82	$263.03	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $11,748.98	Facility		$2,238.72	$4,897.79	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,380.38	Professional		$295.12	$588.84	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $870.96 / $2,089.30	Professional	50	$446.68	$870.96	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $758.58 / $1,148.15	Professional		$234.42	$758.58	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $17,378.01 / $29,512.09	Facility		$15,488.17	$17,378.01	$29,512.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $676.08 / $1,862.09	Professional		$295.12	$676.08	$1,862.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $870.96 / $2,137.96	Facility		$295.12	$870.96	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $7,244.36	Professional		$851.14	$1,862.09	$7,244.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $707.95 / $1,778.28	Facility		$331.13	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $776.25 / $1,737.80	Professional		$263.03	$776.25	$1,737.80