Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,511.89 / $5,623.41	Facility		$251.19	$2,511.89	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility	50	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $407.38	Professional		$81.28	$181.97	$407.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $204.17 / $407.38 / $537.03	Professional	50	$204.17	$407.38	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $186.21 / $213.80	Professional		$173.78	$186.21	$213.80
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $257.04 / $257.04	Professional	50	$158.49	$257.04	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $275.42	Professional		$91.20	$165.96	$275.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $251.19 / $416.87	Professional	50	$134.90	$251.19	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $186.21 / $275.42	Professional		$69.18	$186.21	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $181.97 / $389.05	Professional		$91.20	$181.97	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $338.84 / $11,481.54	Facility		$100.00	$338.84	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $354.81 / $1,479.11	Professional		$190.55	$354.81	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $707.95 / $1,412.54	Facility		$295.12	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $407.38	Professional		$93.33	$194.98	$407.38