Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $463.00 / $5,493.00	Facility		$61.70	$463.00	$5,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $409.00 / $5,283.00 / $5,283.00	Facility	50	$409.00	$5,283.00	$5,283.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $93.28 / $216.82	Professional		$49.27	$93.28	$216.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $74.45 / $112.15	Professional		$44.48	$74.45	$112.15
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 $64.00 / $82.55 / $110.34	Professional		$64.00	$82.55	$110.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $96.00 / $123.82 / $165.51	Professional	50	$96.00	$123.82	$165.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $122.54 / $210.38	Professional		$60.69	$122.54	$210.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.04 / $110.64 / $395.00	Facility		$50.04	$110.64	$395.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $192.22 / $1,030.00	Professional		$112.85	$192.22	$1,030.00
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $718.00 / $1,667.00	Facility		$180.00	$718.00	$1,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $157.38 / $239.98	Professional		$104.57	$157.38	$239.98