Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.16 / $1,907.00 / $5,691.00	Facility		$240.16	$1,907.00	$5,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,695.00 / $1,695.00 / $1,695.00	Facility	50	$1,695.00	$1,695.00	$1,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $162.40 / $249.92	Professional		$78.92	$162.40	$249.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $239.13 / $406.11 / $477.77	Professional	50	$239.13	$406.11	$477.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.73 / $106.73 / $174.91	Professional		$106.73	$106.73	$174.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $166.50 / $274.64	Professional		$88.22	$166.50	$274.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $132.33 / $249.75 / $411.97	Professional	50	$132.33	$249.75	$411.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $179.47 / $408.89	Professional		$83.72	$179.47	$408.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $261.05 / $1,351.00	Facility		$95.07	$261.05	$1,351.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $409.54 / $1,466.96	Professional		$201.74	$409.54	$1,466.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $261.20 / $595.77	Professional		$131.13	$261.20	$595.77