Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $916.22 / $4,261.00	Facility		$76.69	$916.22	$4,261.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $286.00 / $286.00 / $5,129.04	Facility	50	$286.00	$286.00	$5,129.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.52 / $12.17 / $22.74	Facility	53	$8.52	$12.17	$22.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $98.22 / $364.83	Professional		$48.18	$98.22	$364.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.93 / $116.94 / $204.41	Professional	50	$69.93	$116.94	$204.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $73.95	Professional		$60.26	$60.26	$73.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $110.93 / $110.93 / $110.93	Professional	50	$110.93	$110.93	$110.93
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 $52.41 / $74.15 / $130.75	Professional		$52.41	$74.15	$130.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.61 / $111.54 / $196.12	Professional	50	$78.61	$111.54	$196.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.90 / $110.79 / $200.32	Professional		$56.90	$110.79	$200.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $114.89 / $719.00	Facility		$51.13	$114.89	$719.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $48.61 / $48.61 / $48.61	Facility	53	$48.61	$48.61	$48.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.89 / $200.48 / $2,512.54	Professional		$109.89	$200.48	$2,512.54
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $158.58 / $242.99	Professional		$100.06	$158.58	$242.99