Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.58 / $3,131.00 / $8,000.00	Facility		$204.58	$3,131.00	$8,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $872.75 / $872.75 / $872.75	Facility	50	$872.75	$872.75	$872.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.09 / $1,514.79 / $3,799.61	Professional		$141.09	$1,514.79	$3,799.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,339.80 / $2,767.50 / $2,767.50	Professional	50	$1,339.80	$2,767.50	$2,767.50
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 $156.75 / $714.81 / $3,836.37	Professional		$156.75	$714.81	$3,836.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.12 / $1,072.21 / $5,754.55	Professional	50	$235.12	$1,072.21	$5,754.55
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 $149.81 / $1,130.84 / $5,369.16	Professional		$149.81	$1,130.84	$5,369.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.12 / $1,880.00 / $5,897.00	Facility		$149.12	$1,880.00	$5,897.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,090.14 / $3,589.28 / $18,756.31	Professional		$2,090.14	$3,589.28	$18,756.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,959.00 / $5,991.00	Facility		$1,644.00	$2,959.00	$5,991.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,915.02 / $2,870.01 / $4,629.64	Professional		$1,915.02	$2,870.01	$4,629.64