Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $133.79 / $4,261.00	Facility		$19.79	$133.79	$4,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.70 / $38.25	Professional		$12.49	$17.70	$38.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $18.82 / $33.20 / $84.00	Professional	50	$18.82	$33.20	$84.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.60 / $6.69 / $8.11	Professional	52	$6.60	$6.69	$8.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.64 / $2.67 / $4.09	Professional	53	$2.64	$2.67	$4.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.22 / $21.66	Professional		$12.18	$15.22	$21.66
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $20.10 / $25.00 / $32.49	Professional	50	$20.10	$25.00	$32.49
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 $10.97 / $14.98 / $25.52	Professional		$10.97	$14.98	$25.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $16.45 / $22.47 / $38.28	Professional	50	$16.45	$22.47	$38.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $21.66 / $33.47	Professional		$14.06	$21.66	$33.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $27.81 / $875.00	Facility		$13.37	$27.81	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $19.39 / $116.72	Professional		$12.99	$19.39	$116.72
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $17.98 / $29.04	Professional		$13.00	$17.98	$29.04