Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.81 / $2,243.00 / $5,493.00	Facility		$219.81	$2,243.00	$5,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,227.00 / $2,344.00 / $2,643.20	Facility	50	$1,227.00	$2,344.00	$2,643.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.56 / $219.81 / $692.22	Professional		$114.56	$219.81	$692.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $297.38 / $2,121.00	Professional	50	$171.84	$297.38	$2,121.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $186.20 / $186.20	Professional		$186.20	$186.20	$186.20
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 $129.84 / $166.27 / $273.70	Professional		$129.84	$166.27	$273.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $194.83 / $249.40 / $410.55	Professional	50	$194.83	$249.40	$410.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $270.11 / $472.86	Professional		$142.49	$270.11	$472.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $283.02 / $1,770.00	Facility		$129.12	$283.02	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.62 / $458.58 / $1,990.16	Professional		$268.62	$458.58	$1,990.16
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,664.00	Facility		$899.00	$1,632.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.52 / $370.60 / $547.66	Professional		$241.52	$370.60	$547.66