Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $1,084.08 / $4,610.00	Facility		$70.77	$1,084.08	$4,610.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $816.00 / $971.49 / $2,930.00	Facility	50	$816.00	$971.49	$2,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $83.08 / $292.79	Professional		$46.93	$83.08	$292.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.76 / $118.68 / $420.16	Professional	50	$70.76	$118.68	$420.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $56.60 / $74.04	Professional		$56.60	$56.60	$74.04
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $84.91 / $108.76 / $192.18	Professional	50	$84.91	$108.76	$192.18
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 $46.72 / $59.93 / $97.92	Professional		$46.72	$59.93	$97.92
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.08 / $90.06 / $146.88	Professional	50	$70.08	$90.06	$146.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $97.79 / $170.43	Professional		$56.31	$97.79	$170.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $100.00 / $740.00	Facility		$50.81	$100.00	$740.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $725.00 / $725.00 / $1,320.00	Facility	50	$725.00	$725.00	$1,320.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $151.74 / $1,800.00	Professional		$91.31	$151.74	$1,800.00
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $127.72 / $221.01 / $221.01	Professional	50	$127.72	$221.01	$221.01
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 $86.74 / $135.91 / $196.55	Professional		$86.74	$135.91	$196.55