Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $1,273.50 / $5,377.86	Facility		$87.84	$1,273.50	$5,377.86
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $822.75 / $1,758.00 / $2,485.00	Facility	50	$822.75	$1,758.00	$2,485.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $172.53 / $458.61	Professional		$54.64	$172.53	$458.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.24 / $136.84 / $494.55	Professional	50	$84.24	$136.84	$494.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $69.78 / $85.67	Professional		$69.78	$69.78	$85.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $104.68 / $128.51 / $385.37	Professional	50	$104.68	$128.51	$385.37
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 $53.87 / $67.84 / $112.02	Professional		$53.87	$67.84	$112.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.80 / $101.76 / $168.03	Professional	50	$80.80	$101.76	$168.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $153.32 / $343.93	Professional		$64.90	$153.32	$343.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.09 / $222.21 / $489.37	Facility		$56.09	$222.21	$489.37
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $362.50 / $362.50 / $362.50	Facility	50	$362.50	$362.50	$362.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.19 / $306.62 / $1,779.12	Professional		$180.19	$306.62	$1,779.12
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $147.79 / $147.79 / $147.79	Professional	50	$147.79	$147.79	$147.79
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 $175.53 / $280.41 / $423.76	Professional		$175.53	$280.41	$423.76