Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.49 / $4,261.00 / $9,304.00	Facility		$547.49	$4,261.00	$9,304.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,157.57 / $4,037.12 / $7,491.00	Facility	50	$2,157.57	$4,037.12	$7,491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.81 / $555.61 / $1,606.79	Professional		$461.81	$555.61	$1,606.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $736.80 / $889.83 / $4,144.74	Professional	50	$736.80	$889.83	$4,144.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,279.00 / $10,011.00	Facility		$2,088.00	$4,279.00	$10,011.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.55 / $682.96 / $1,049.34	Professional		$525.55	$682.96	$1,049.34
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $788.34 / $1,024.44 / $1,574.02	Professional	50	$788.34	$1,024.44	$1,574.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.66 / $735.67 / $1,230.25	Professional		$513.66	$735.67	$1,230.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.62 / $830.69 / $5,764.50	Facility		$468.62	$830.69	$5,764.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.99 / $801.61 / $4,664.16	Professional		$525.99	$801.61	$4,664.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,261.00 / $3,071.00	Facility		$1,216.00	$2,261.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.47 / $638.72 / $1,136.16	Professional		$524.47	$638.72	$1,136.16