Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.11 / $3,130.00 / $8,000.00	Facility		$189.11	$3,130.00	$8,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,349.75 / $2,349.75 / $2,349.75	Facility	50	$2,349.75	$2,349.75	$2,349.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $1,527.78 / $2,243.69	Professional		$154.65	$1,527.78	$2,243.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $841.03 / $2,767.50 / $5,535.00	Professional	50	$841.03	$2,767.50	$5,535.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $770.00 / $1,605.00 / $4,773.00	Facility		$770.00	$1,605.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $730.31 / $2,904.52	Professional		$160.66	$730.31	$2,904.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $241.00 / $1,095.46 / $4,356.78	Professional	50	$241.00	$1,095.46	$4,356.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,533.00 / $13,106.00 / $17,811.00	Facility		$11,533.00	$13,106.00	$17,811.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.69 / $1,140.83 / $4,110.43	Professional		$164.69	$1,140.83	$4,110.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.46 / $2,120.00 / $5,897.00	Facility		$163.46	$2,120.00	$5,897.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,082.31 / $3,191.39 / $12,112.80	Professional		$2,082.31	$3,191.39	$12,112.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,527.00 / $7,042.00	Facility		$1,748.00	$3,527.00	$7,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,932.24 / $2,626.73 / $4,669.06	Professional		$1,932.24	$2,626.73	$4,669.06