Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $2,150.00 / $5,389.00	Facility		$155.26	$2,150.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $155.26 / $301.64	Professional		$67.06	$155.26	$301.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $257.57 / $375.66 / $439.76	Professional	50	$257.57	$375.66	$439.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $94.38 / $94.38	Professional		$94.38	$94.38	$94.38
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 $75.14 / $148.12 / $266.77	Professional		$75.14	$148.12	$266.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $112.71 / $222.18 / $400.15	Professional	50	$112.71	$222.18	$400.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $179.90 / $404.85	Professional		$88.06	$179.90	$404.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $182.84 / $2,363.00	Facility		$67.06	$182.84	$2,363.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $319.92 / $1,307.44	Professional		$160.44	$319.92	$1,307.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $127.70 / $127.70 / $127.70	Professional		$127.70	$127.70	$127.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,332.00 / $3,071.00	Facility		$1,216.00	$2,332.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.49 / $221.39 / $395.22	Professional		$160.49	$221.39	$395.22