Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,162.28 / $7,413.10	Facility		$144.54	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $426.58	Professional		$117.49	$208.93	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $346.74 / $616.60 / $794.33	Professional	50	$346.74	$616.60	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $245.47	Professional		$162.18	$181.97	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $302.00 / $478.63	Professional	50	$263.03	$302.00	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $331.13	Professional		$138.04	$204.17	$331.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $302.00 / $478.63	Professional	50	$208.93	$302.00	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $302.00	Professional		$123.03	$204.17	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $6,760.83	Facility		$2,570.40	$4,677.35	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $398.11	Professional		$134.90	$223.87	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $251.19 / $954.99	Facility		$54.95	$251.19	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $1,513.56	Professional		$194.98	$309.03	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $707.95 / $1,778.28	Facility		$346.74	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $338.84	Professional		$131.83	$204.17	$338.84