Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.56 / $1,929.96 / $5,493.00	Facility		$166.56	$1,929.96	$5,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,232.00 / $2,232.00 / $2,232.00	Facility	50	$2,232.00	$2,232.00	$2,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.42 / $141.54 / $306.83	Professional		$69.42	$141.54	$306.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
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 $78.34 / $128.85 / $212.14	Professional		$78.34	$128.85	$212.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $163.35 / $346.04	Professional		$86.47	$163.35	$346.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.52 / $184.65 / $2,783.00	Facility		$84.52	$184.65	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $266.24 / $1,293.59	Professional		$115.60	$266.24	$1,293.59
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 $114.71 / $165.29 / $350.66	Professional		$114.71	$165.29	$350.66