Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,659.59 / $5,370.32	Facility		$134.90	$1,659.59	$5,370.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,023.29 / $2,818.38 / $5,623.41	Facility	50	$1,023.29	$2,818.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $1,071.52	Professional		$102.33	$204.17	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $363.08 / $1,380.38	Professional	50	$181.97	$363.08	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $177.83	Professional		$89.13	$125.89	$177.83
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $190.55 / $288.40	Professional	50	$162.18	$190.55	$288.40
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 $97.72 / $123.03 / $199.53	Professional		$97.72	$123.03	$199.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $181.97 / $302.00	Professional	50	$144.54	$181.97	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $275.42	Professional		$97.72	$199.53	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $371.54	Professional		$117.49	$204.17	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $223.87 / $2,187.76	Facility		$104.71	$223.87	$2,187.76
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $2,398.83 / $2,454.71	Facility	50	$1,698.24	$2,398.83	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $3,467.37	Professional		$181.97	$331.13	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,344.23	Facility		$676.08	$1,047.13	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $363.08	Professional		$104.71	$186.21	$363.08