Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.20 / $1,140.00 / $5,389.00	Facility		$86.20	$1,140.00	$5,389.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $544.00 / $1,758.00 / $2,547.00	Facility	50	$544.00	$1,758.00	$2,547.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $190.55 / $489.15	Professional		$62.37	$190.55	$489.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $92.20 / $154.57 / $295.79	Professional	50	$92.20	$154.57	$295.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $97.48 / $97.48	Professional		$97.48	$97.48	$97.48
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $146.22 / $146.22 / $146.22	Professional	50	$146.22	$146.22	$146.22
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 $61.83 / $77.39 / $128.83	Professional		$61.83	$77.39	$128.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $92.75 / $116.08 / $193.24	Professional	50	$92.75	$116.08	$193.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $168.18 / $380.29	Professional		$74.09	$168.18	$380.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.73 / $234.12 / $520.58	Facility		$63.73	$234.12	$520.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.58 / $336.27 / $2,060.00	Professional		$197.58	$336.27	$2,060.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $112.10 / $112.10	Professional		$112.10	$112.10	$112.10
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $168.16 / $168.16 / $592.61	Professional	50	$168.16	$168.16	$592.61
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 $183.76 / $298.72 / $467.49	Professional		$183.76	$298.72	$467.49