Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.15 / $1,184.00 / $5,389.00	Facility		$194.15	$1,184.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,172.00 / $1,172.00 / $1,242.50	Facility	50	$1,172.00	$1,172.00	$1,242.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $194.15 / $438.81	Professional		$121.70	$194.15	$438.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $177.19 / $219.36	Professional		$151.47	$177.19	$219.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.63 / $165.28 / $272.23	Professional		$127.63	$165.28	$272.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.43 / $212.60 / $367.37	Professional		$134.43	$212.60	$367.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.62 / $212.01 / $875.00	Facility		$108.62	$212.01	$875.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $33.49 / $62.22 / $62.22	Facility	AS	$33.49	$62.22	$62.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $208.42 / $987.52	Professional		$126.23	$208.42	$987.52
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 $128.78 / $185.76 / $327.57	Professional		$128.78	$185.76	$327.57