Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.59 / $4,261.00 / $10,043.00	Facility		$823.59	$4,261.00	$10,043.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,448.00 / $8,668.50 / $9,675.00	Facility	50	$3,448.00	$8,668.50	$9,675.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $710.05 / $1,195.54	Professional		$519.99	$710.05	$1,195.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $820.85 / $854.22 / $2,748.16	Professional	50	$820.85	$854.22	$2,748.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.53 / $707.53 / $753.73	Professional		$707.53	$707.53	$753.73
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,130.59 / $1,130.59 / $1,130.59	Professional	50	$1,130.59	$1,130.59	$1,130.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.71 / $729.47 / $1,032.31	Professional		$514.71	$729.47	$1,032.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $772.06 / $1,094.20 / $1,548.46	Professional	50	$772.06	$1,094.20	$1,548.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $730.00 / $1,135.71	Facility		$730.00	$730.00	$1,135.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.84 / $801.44 / $1,542.71	Professional		$545.84	$801.44	$1,542.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $658.10 / $1,668.59 / $26,542.00	Facility		$658.10	$1,668.59	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $667.96 / $883.63 / $7,208.00	Professional		$667.96	$883.63	$7,208.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.96 / $883.34 / $1,420.27	Professional		$667.96	$883.34	$1,420.27