Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,754.23 / $8,511.38	Facility		$89.13	$2,754.23	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	50	$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $758.58	Professional		$58.88	$123.03	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $1,071.52	Professional	50	$199.53	$346.74	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $91.20	Professional		$53.70	$61.66	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $128.82	Professional		$66.07	$89.13	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $131.83 / $190.55	Professional	50	$100.00	$131.83	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $128.82 / $173.78	Professional		$63.10	$128.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $208.93	Professional		$67.61	$114.82	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $114.82 / $1,380.38	Facility		$56.23	$114.82	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $1,096.48	Professional		$81.28	$165.96	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,047.13 / $2,238.72	Facility		$524.81	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $190.55	Professional		$54.95	$97.72	$190.55