Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.78 / $2,243.00 / $5,493.00	Facility		$227.78	$2,243.00	$5,493.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,088.00 / $2,930.00 / $5,389.00	Facility	50	$1,088.00	$2,930.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.50 / $362.68 / $850.54	Professional		$186.50	$362.68	$850.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $551.29 / $1,997.78	Professional	50	$315.20	$551.29	$1,997.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.01 / $279.01 / $279.01	Professional		$279.01	$279.01	$279.01
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $418.51 / $418.51 / $418.51	Professional	50	$418.51	$418.51	$418.51
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 $202.39 / $254.13 / $409.82	Professional		$202.39	$254.13	$409.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.58 / $381.19 / $614.74	Professional	50	$303.58	$381.19	$614.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.39 / $439.13 / $783.25	Professional		$225.39	$439.13	$783.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.44 / $460.34 / $3,022.40	Facility		$189.44	$460.34	$3,022.40
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,495.50 / $5,495.50 / $5,495.50	Facility	50	$5,495.50	$5,495.50	$5,495.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.91 / $733.25 / $3,260.40	Professional		$430.91	$733.25	$3,260.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $320.86 / $320.86 / $320.86	Professional		$320.86	$320.86	$320.86
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $481.29 / $481.29 / $1,034.77	Professional	50	$481.29	$481.29	$1,034.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,874.00 / $5,829.00	Facility		$1,438.00	$2,874.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.62 / $623.96 / $888.10	Professional		$395.62	$623.96	$888.10