Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.37 / $3,130.00 / $8,000.00	Facility		$268.37	$3,130.00	$8,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,048.29 / $5,048.29 / $5,048.29	Facility	50	$5,048.29	$5,048.29	$5,048.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $526.08 / $3,831.30	Professional		$176.10	$526.08	$3,831.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,404.36 / $1,404.36 / $1,404.36	Professional	50	$1,404.36	$1,404.36	$1,404.36
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 $192.00 / $872.32 / $3,873.65	Professional		$192.00	$872.32	$3,873.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $288.00 / $1,308.48 / $5,810.47	Professional	50	$288.00	$1,308.48	$5,810.47
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 $187.16 / $1,159.42 / $5,420.16	Professional		$187.16	$1,159.42	$5,420.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.15 / $2,120.00 / $5,897.00	Facility		$186.15	$2,120.00	$5,897.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,143.90 / $3,669.75 / $18,915.68	Professional		$2,143.90	$3,669.75	$18,915.68
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 $1,958.58 / $2,963.27 / $4,740.92	Professional		$1,958.58	$2,963.27	$4,740.92