Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $1,437.00 / $5,691.00	Facility		$54.74	$1,437.00	$5,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $409.00 / $1,263.54 / $5,389.00	Facility	50	$409.00	$1,263.54	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $75.77 / $297.56	Professional		$51.74	$75.77	$297.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $75.68 / $167.88 / $630.17	Professional	50	$75.68	$167.88	$630.17
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $111.91 / $111.91 / $111.91	Professional	50	$111.91	$111.91	$111.91
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 $57.50 / $83.88 / $127.32	Professional		$57.50	$83.88	$127.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.25 / $126.77 / $190.98	Professional	50	$86.25	$126.77	$190.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $94.67 / $165.22	Professional		$59.01	$94.67	$165.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $99.89 / $815.00	Facility		$52.95	$99.89	$815.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $144.86 / $1,157.00	Professional		$74.70	$144.86	$1,157.00
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 $68.77 / $116.39 / $177.54	Professional		$68.77	$116.39	$177.54