Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.94 / $2,330.00 / $7,365.00	Facility		$150.94	$2,330.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $141.06 / $276.20	Professional		$103.78	$141.06	$276.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.62 / $133.76 / $390.15	Professional	50	$42.62	$133.76	$390.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.07 / $151.07 / $176.32	Professional		$151.07	$151.07	$176.32
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $193.98 / $193.98 / $272.14	Professional	50	$193.98	$193.98	$272.14
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 $113.49 / $145.86 / $198.24	Professional		$113.49	$145.86	$198.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $170.23 / $218.79 / $297.36	Professional	50	$170.23	$218.79	$297.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $100.61	Facility		$50.00	$50.00	$100.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $173.25 / $370.00	Professional		$112.96	$173.25	$370.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $228.00 / $961.00	Facility		$55.00	$228.00	$961.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $190.12 / $1,141.28	Professional		$134.57	$190.12	$1,141.28
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.52 / $172.51 / $298.31	Professional		$132.52	$172.51	$298.31