Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $1,907.00 / $5,691.00	Facility		$125.82	$1,907.00	$5,691.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $232.39 / $1,227.00 / $4,397.39	Facility	50	$232.39	$1,227.00	$4,397.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $116.66 / $266.48	Professional		$87.26	$116.66	$266.48
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.43 / $203.93 / $558.64	Professional	50	$32.43	$203.93	$558.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $110.00 / $145.35	Professional		$100.65	$110.00	$145.35
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $159.26 / $181.17 / $218.03	Professional	50	$159.26	$181.17	$218.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,500.00 / $9,854.00	Facility		$2,224.00	$4,500.00	$9,854.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $156.06 / $292.35	Professional		$104.32	$156.06	$292.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $156.47 / $234.09 / $438.52	Professional	50	$156.47	$234.09	$438.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $386.00	Facility		$64.81	$64.81	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $147.77 / $438.72	Professional		$86.27	$147.77	$438.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $245.00 / $961.00	Facility		$55.00	$245.00	$961.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.23 / $181.92 / $3,149.10	Professional		$105.23	$181.92	$3,149.10
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $121.45 / $326.69 / $462.69	Professional	50	$121.45	$326.69	$462.69
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $395.00 / $1,279.00	Facility		$247.00	$395.00	$1,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $139.35 / $229.03	Professional		$96.40	$139.35	$229.03