Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,238.72 / $7,413.10	Facility		$257.04	$2,238.72	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,884.03 / $2,884.03 / $11,220.18	Facility	50	$2,884.03	$2,884.03	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $1,202.26	Professional		$223.87	$457.09	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $1,479.11 / $1,862.09	Professional	50	$660.69	$1,479.11	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $812.83	Professional		$229.09	$288.40	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $831.76	Professional		$407.38	$549.54	$831.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $831.76 / $1,230.27	Professional	50	$602.56	$831.76	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $512.86	Professional		$190.55	$251.19	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $389.05	Facility		$162.18	$162.18	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $446.68 / $977.24	Professional		$199.53	$446.68	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $602.56 / $1,819.70	Facility		$54.95	$602.56	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $2,951.21	Professional		$398.11	$602.56	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $2,187.76	Facility		$416.87	$1,047.13	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $812.83	Professional		$380.19	$524.81	$812.83