Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $1,140.00 / $3,907.00	Facility		$62.41	$1,140.00	$3,907.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $442.68 / $999.28 / $5,389.00	Facility	50	$442.68	$999.28	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $74.19 / $360.83	Professional		$41.61	$74.19	$360.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $83.28 / $249.86 / $657.00	Professional	50	$83.28	$249.86	$657.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $60.13 / $104.29	Professional		$58.96	$60.13	$104.29
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $90.19 / $90.19 / $90.19	Professional	50	$90.19	$90.19	$90.19
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 $47.40 / $80.11 / $108.92	Professional		$47.40	$80.11	$108.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $120.16 / $163.38	Professional	50	$71.09	$120.16	$163.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $89.72 / $153.00	Professional		$47.53	$89.72	$153.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $87.67 / $1,770.00	Facility		$41.61	$87.67	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $154.06 / $1,340.00	Professional		$82.61	$154.06	$1,340.00
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $242.80 / $242.80 / $242.80	Professional	50	$242.80	$242.80	$242.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $48.94 / $48.94	Professional		$48.94	$48.94	$48.94
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $103.72 / $103.72 / $103.72	Professional	50	$103.72	$103.72	$103.72
United Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,410.00 / $2,664.00	Facility		$709.00	$1,410.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $115.08 / $165.31	Professional		$72.39	$115.08	$165.31