Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.00 / $4,931.00 / $12,154.00	Facility		$1,704.00	$4,931.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $2,875.41 / $3,836.03	Professional		$235.20	$2,875.41	$3,836.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,953.50 / $6,147.23 / $6,785.09	Professional	50	$5,953.50	$6,147.23	$6,785.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,449.00 / $10,043.00	Facility		$2,224.00	$4,449.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $1,029.02 / $5,469.62	Professional		$246.60	$1,029.02	$5,469.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $369.90 / $1,543.53 / $8,204.43	Professional	50	$369.90	$1,543.53	$8,204.43
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $34.52 / $144.06 / $765.74	Professional	AS	$34.52	$144.06	$765.74
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 $270.00 / $2,673.74 / $7,874.37	Professional		$270.00	$2,673.74	$7,874.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.94 / $3,122.76 / $6,653.00	Facility		$263.94	$3,122.76	$6,653.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,966.88 / $6,081.41 / $22,772.24	Professional		$3,966.88	$6,081.41	$22,772.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,708.00 / $3,700.00 / $15,000.00	Facility		$1,708.00	$3,700.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,651.02 / $4,997.85 / $7,724.59	Professional		$3,651.02	$4,997.85	$7,724.59