Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.96 / $2,589.34 / $5,560.00	Facility		$458.96	$2,589.34	$5,560.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $706.90 / $3,980.15 / $6,821.40	Facility	50	$706.90	$3,980.15	$6,821.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $445.72 / $1,357.19	Professional		$366.14	$445.72	$1,357.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $206.57 / $940.94 / $1,696.47	Professional	50	$206.57	$940.94	$1,696.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.15 / $444.60 / $634.58	Professional		$233.15	$444.60	$634.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $615.61 / $636.71 / $998.99	Professional	50	$615.61	$636.71	$998.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,279.00 / $10,043.00	Facility		$2,224.00	$4,279.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.86 / $507.84 / $770.14	Professional		$411.86	$507.84	$770.14
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $617.79 / $748.44 / $1,155.21	Professional	50	$617.79	$748.44	$1,155.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.70 / $561.70 / $896.78	Professional		$438.70	$561.70	$896.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.92 / $653.29 / $3,133.00	Facility		$391.92	$653.29	$3,133.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.24 / $726.48 / $4,131.06	Professional		$451.24	$726.48	$4,131.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $514.88 / $720.65	Professional		$278.89	$514.88	$720.65
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $1,080.97 / $1,080.97 / $1,080.97	Professional	50	$1,080.97	$1,080.97	$1,080.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,959.00 / $5,829.00	Facility		$1,438.00	$2,959.00	$5,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.72 / $595.69 / $960.66	Professional		$433.72	$595.69	$960.66