Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.84 / $4,498.00 / $12,154.00	Facility		$694.84	$4,498.00	$12,154.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,931.99 / $1,931.99 / $1,931.99	Facility	50	$1,931.99	$1,931.99	$1,931.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $544.15 / $755.79	Professional		$416.93	$544.15	$755.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $218.09 / $218.09 / $218.09	Professional	50	$218.09	$218.09	$218.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $609.77 / $609.77 / $609.77	Professional	50	$609.77	$609.77	$609.77
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 $436.00 / $549.79 / $810.33	Professional		$436.00	$549.79	$810.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $654.00 / $824.70 / $1,215.49	Professional	50	$654.00	$824.70	$1,215.49
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 $417.44 / $646.75 / $1,308.60	Professional		$417.44	$646.75	$1,308.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.72 / $1,438.00 / $26,542.00	Facility		$524.72	$1,438.00	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.94 / $807.71 / $4,642.80	Professional		$540.94	$807.71	$4,642.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,833.00 / $5,813.00	Facility		$1,438.00	$2,833.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.83 / $737.82 / $1,192.23	Professional		$536.83	$737.82	$1,192.23