Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.19 / $380.84 / $4,610.00	Facility		$85.19	$380.84	$4,610.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $245.18 / $607.00 / $1,829.94	Facility	50	$245.18	$607.00	$1,829.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $144.11 / $267.18	Professional		$55.46	$144.11	$267.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.00 / $187.85 / $540.23	Professional	50	$126.00	$187.85	$540.23
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 $57.29 / $80.94 / $121.42	Professional		$57.29	$80.94	$121.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.93 / $121.41 / $182.13	Professional	50	$85.93	$121.41	$182.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $134.09 / $309.29	Professional		$59.79	$134.09	$309.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $156.51 / $755.00	Facility		$55.84	$156.51	$755.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $272.45 / $1,154.72	Professional		$115.85	$272.45	$1,154.72
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 $109.46 / $200.95 / $310.14	Professional		$109.46	$200.95	$310.14