Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $1,768.00 / $7,365.00	Facility		$57.76	$1,768.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,069.30 / $1,069.30 / $1,069.30	Facility	50	$1,069.30	$1,069.30	$1,069.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $84.45 / $205.22	Professional		$54.52	$84.45	$205.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $326.91 / $326.91 / $326.91	Professional	50	$326.91	$326.91	$326.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $40.27 / $40.27	Professional		$40.27	$40.27	$40.27
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 $57.99 / $89.00 / $125.00	Professional		$57.99	$89.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $91.02 / $133.87 / $187.50	Professional	50	$91.02	$133.87	$187.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $106.90 / $199.51	Professional		$63.36	$106.90	$199.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $102.07 / $899.00	Facility		$55.00	$102.07	$899.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.34 / $181.89 / $1,157.00	Professional		$87.34	$181.89	$1,157.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Professional		$46.31	$46.31	$46.31
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $141.78 / $212.68	Professional		$80.75	$141.78	$212.68