Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.21 / $4,610.00 / $9,823.00	Facility		$594.21	$4,610.00	$9,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.58 / $573.69 / $825.83	Professional		$510.58	$573.69	$825.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $141.82 / $141.82 / $683.21	Professional	50	$141.82	$141.82	$683.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $481.10 / $546.55 / $805.99	Professional		$481.10	$546.55	$805.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,132.27 / $1,132.27 / $1,132.27	Professional	50	$1,132.27	$1,132.27	$1,132.27
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 $522.15 / $731.00 / $1,075.00	Professional		$522.15	$731.00	$1,075.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $783.22 / $1,096.50 / $1,612.50	Professional	50	$783.22	$1,096.50	$1,612.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.12 / $301.12 / $386.00	Facility		$301.12	$301.12	$386.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.43 / $686.34 / $1,227.95	Professional		$422.43	$686.34	$1,227.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $867.67 / $2,539.00	Facility		$55.00	$867.67	$2,539.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.99 / $702.50 / $3,840.32	Professional		$495.99	$702.50	$3,840.32
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 $476.24 / $645.39 / $1,072.32	Professional		$476.24	$645.39	$1,072.32