Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $2,243.00 / $5,389.00	Facility		$688.00	$2,243.00	$5,389.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.63 / $36.35 / $170.00	Facility	53	$29.63	$36.35	$170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $301.63 / $970.21	Professional		$144.74	$301.63	$970.21
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 $148.19 / $620.53 / $1,401.45	Professional		$148.19	$620.53	$1,401.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.33 / $470.70 / $1,847.57	Professional		$167.33	$470.70	$1,847.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.16 / $842.20 / $2,442.00	Facility		$148.16	$842.20	$2,442.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $135.34 / $135.34 / $135.34	Facility	53	$135.34	$135.34	$135.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,026.06 / $1,358.59 / $6,211.20	Professional		$1,026.06	$1,358.59	$6,211.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,332.00 / $3,071.00	Facility		$1,216.00	$2,332.00	$3,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.38 / $1,338.74 / $2,068.34	Professional		$1,012.38	$1,338.74	$2,068.34