Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $1,907.00 / $7,365.00	Facility		$249.36	$1,907.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,865.00 / $2,865.00 / $11,241.08	Facility	50	$2,865.00	$2,865.00	$11,241.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $370.69 / $805.73	Professional		$238.88	$370.69	$805.73
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $681.48 / $681.48 / $681.48	Professional	50	$681.48	$681.48	$681.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $305.82 / $819.18	Professional		$260.51	$305.82	$819.18
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 $402.23 / $548.28 / $823.71	Professional		$402.23	$548.28	$823.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $603.34 / $822.42 / $1,235.56	Professional	50	$603.34	$822.42	$1,235.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.77 / $160.77 / $386.00	Facility		$160.77	$160.77	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $473.01 / $916.48	Professional		$200.67	$473.01	$916.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $605.85 / $1,872.00	Facility		$55.00	$605.85	$1,872.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $599.82 / $2,946.00	Professional		$413.23	$599.82	$2,946.00
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,664.00	Facility		$899.00	$1,632.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.61 / $531.33 / $983.26	Professional		$393.61	$531.33	$983.26