Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.54 / $1,110.00 / $5,493.00	Facility		$76.54	$1,110.00	$5,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $560.75 / $984.68 / $1,784.62	Facility	50	$560.75	$984.68	$1,784.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $92.16 / $315.93	Professional		$55.23	$92.16	$315.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $82.97 / $133.57 / $452.01	Professional	50	$82.97	$133.57	$452.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $105.59 / $129.59 / $129.59	Professional	50	$105.59	$129.59	$129.59
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 $55.04 / $69.30 / $114.85	Professional		$55.04	$69.30	$114.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $82.56 / $103.95 / $172.27	Professional	50	$82.56	$103.95	$172.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $107.73 / $186.13	Professional		$65.48	$107.73	$186.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.72 / $105.21 / $353.21	Facility		$56.72	$105.21	$353.21
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $661.96 / $661.96 / $661.96	Facility	50	$661.96	$661.96	$661.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $166.38 / $2,750.00	Professional		$98.16	$166.38	$2,750.00
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $149.03 / $149.03 / $149.03	Professional	50	$149.03	$149.03	$149.03
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $144.24 / $208.91	Professional		$92.13	$144.24	$208.91