Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.52 / $4,261.00 / $7,996.00	Facility		$1,298.52	$4,261.00	$7,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,784.00 / $2,784.00 / $7,977.00	Facility	50	$2,784.00	$2,784.00	$7,977.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.45 / $1,130.27 / $3,096.86	Professional		$287.45	$1,130.27	$3,096.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $394.99 / $494.84 / $621.03	Professional	50	$394.99	$494.84	$621.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.81 / $390.30 / $1,363.25	Professional		$204.81	$390.30	$1,363.25
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $585.45 / $585.45 / $585.45	Professional	50	$585.45	$585.45	$585.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $2,064.00 / $5,614.00	Facility		$821.00	$2,064.00	$5,614.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $1,238.56 / $2,532.00	Professional		$330.06	$1,238.56	$2,532.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $495.09 / $1,857.84 / $3,798.00	Professional	50	$495.09	$1,857.84	$3,798.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,072.00 / $8,072.00 / $8,072.00	Facility		$8,072.00	$8,072.00	$8,072.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.45 / $862.71 / $2,721.92	Professional		$307.45	$862.71	$2,721.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.22 / $1,829.00 / $7,405.00	Facility		$346.22	$1,829.00	$7,405.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,044.23 / $4,044.23 / $4,044.23	Facility	50	$4,044.23	$4,044.23	$4,044.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,375.33 / $2,901.76 / $12,119.05	Professional		$1,375.33	$2,901.76	$12,119.05
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $494.39 / $494.39 / $1,865.64	Professional	50	$494.39	$494.39	$1,865.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,120.00 / $4,024.00 / $7,009.00	Facility		$2,120.00	$4,024.00	$7,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,375.33 / $2,269.00 / $4,389.68	Professional		$1,375.33	$2,269.00	$4,389.68