Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.11 / $2,507.00 / $8,876.00	Facility		$456.11	$2,507.00	$8,876.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $858.00 / $3,177.38 / $8,664.00	Facility	50	$858.00	$3,177.38	$8,664.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.59 / $93.01 / $228.06	Facility	52	$70.59	$93.01	$228.06
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.24 / $37.20 / $91.22	Facility	53	$28.24	$37.20	$91.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $239.44 / $567.37	Professional		$141.18	$239.44	$567.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $178.39 / $352.57 / $723.89	Professional	50	$178.39	$352.57	$723.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $193.83 / $193.83	Professional		$98.55	$193.83	$193.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,490.00 / $9,569.00	Facility		$2,224.00	$4,490.00	$9,569.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.86 / $350.00 / $712.29	Professional		$176.86	$350.00	$712.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $265.29 / $525.00 / $1,054.54	Professional	50	$265.29	$525.00	$1,054.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,124.00 / $11,050.00 / $12,643.00	Facility		$7,124.00	$11,050.00	$12,643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.95 / $359.89 / $999.52	Professional		$170.95	$359.89	$999.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $557.82 / $4,332.00	Facility		$175.44	$557.82	$4,332.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $775.66 / $775.66 / $775.66	Facility	52	$775.66	$775.66	$775.66
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $193.91 / $193.91 / $193.91	Facility	53	$193.91	$193.91	$193.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.10 / $923.07 / $4,715.39	Professional		$514.10	$923.07	$4,715.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,959.00 / $5,829.00	Facility		$1,644.00	$2,959.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.36 / $677.19 / $1,143.21	Professional		$467.36	$677.19	$1,143.21