Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.90 / $3,131.00 / $12,154.00	Facility		$111.90	$3,131.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $118.42 / $176.49	Professional		$84.42	$118.42	$176.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $290.83 / $290.83 / $290.83	Professional	50	$290.83	$290.83	$290.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.12 / $178.12 / $178.12	Professional		$178.12	$178.12	$178.12
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 $97.00 / $126.65 / $183.31	Professional		$97.00	$126.65	$183.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.50 / $189.97 / $274.95	Professional	50	$145.50	$189.97	$274.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $144.03 / $405.65	Professional		$93.10	$144.03	$405.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $187.26 / $1,097.00	Facility		$55.00	$187.26	$1,097.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $150.33 / $2,205.30	Professional		$103.81	$150.33	$2,205.30
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $760.00 / $1,300.00	Facility		$100.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.63 / $133.63 / $221.97	Professional		$103.63	$133.63	$221.97