Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.68 / $2,507.00 / $7,365.00	Facility		$105.68	$2,507.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $181.36 / $361.07	Professional		$69.73	$181.36	$361.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.39 / $630.38 / $630.38	Professional	50	$120.39	$630.38	$630.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $119.77 / $119.77	Professional		$119.77	$119.77	$119.77
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 $72.59 / $90.12 / $155.19	Professional		$72.59	$90.12	$155.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $108.89 / $135.18 / $232.80	Professional	50	$108.89	$135.18	$232.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $182.25 / $389.79	Professional		$90.94	$182.25	$389.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $199.17 / $1,291.00	Facility		$73.22	$199.17	$1,291.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $299.14 / $299.14 / $299.14	Facility	52	$299.14	$299.14	$299.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.34 / $348.68 / $1,886.00	Professional		$218.34	$348.68	$1,886.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $137.74 / $137.74	Professional		$137.74	$137.74	$137.74
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 $200.87 / $298.98 / $448.98	Professional		$200.87	$298.98	$448.98