Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,698.24 / $5,754.40	Facility		$125.89	$1,698.24	$5,754.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $2,951.21 / $5,370.32	Facility	50	$851.14	$2,951.21	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $707.95	Professional		$85.11	$186.21	$707.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.89 / $316.23 / $1,071.52	Professional	50	$125.89	$316.23	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $234.42	Professional		$61.66	$114.82	$234.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $141.25 / $309.03	Professional	50	$109.65	$141.25	$309.03
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 $81.28 / $104.71 / $169.82	Professional		$81.28	$104.71	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $154.88 / $257.04	Professional	50	$123.03	$154.88	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $257.04	Professional		$83.18	$186.21	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $338.84	Professional		$100.00	$186.21	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $208.93 / $2,187.76	Facility		$89.13	$208.93	$2,187.76
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,737.80 / $1,905.46 / $2,290.87	Facility	50	$1,737.80	$1,905.46	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $3,090.30	Professional		$165.96	$302.00	$3,090.30
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	50	$309.03	$309.03	$309.03
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 $89.13 / $165.96 / $323.59	Professional		$89.13	$165.96	$323.59