Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,290.87 / $5,623.41	Facility		$190.55	$2,290.87	$5,623.41
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $338.84 / $338.84 / $3,090.30	Facility	50	$338.84	$338.84	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $630.96	Professional		$79.43	$190.55	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.25 / $512.86 / $1,096.48	Professional	50	$141.25	$512.86	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 $77.62 / $97.72 / $154.88	Professional		$77.62	$97.72	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $144.54 / $234.42	Professional	50	$117.49	$144.54	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $323.59	Professional		$79.43	$218.78	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $380.19	Professional		$89.13	$173.78	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $229.09 / $2,089.30	Facility		$81.28	$229.09	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,995.26	Professional		$199.53	$316.23	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $2,238.72	Facility		$676.08	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $354.81	Professional		$81.28	$186.21	$354.81