Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,511.89 / $7,413.10	Facility		$158.49	$2,511.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $323.59	Professional		$114.82	$144.54	$323.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $331.13 / $1,096.48	Professional	50	$162.18	$331.13	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
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 $97.72 / $128.82 / $204.17	Professional		$97.72	$128.82	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $194.98 / $309.03	Professional	50	$144.54	$194.98	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $186.21	Professional		$104.71	$138.04	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $91.20	Facility		$50.12	$50.12	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $371.54	Professional		$107.15	$158.49	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $218.78 / $954.99	Facility		$54.95	$218.78	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $1,202.26	Professional		$120.23	$177.83	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,412.54	Facility		$223.87	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $229.09	Professional		$107.15	$138.04	$229.09