Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.75 / $1,705.00 / $7,365.00	Facility		$322.75	$1,705.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,113.75 / $1,113.75 / $1,980.89	Facility	50	$1,113.75	$1,113.75	$1,980.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $495.56 / $1,044.33	Professional		$169.83	$495.56	$1,044.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,279.00 / $10,043.00	Facility		$2,088.00	$4,279.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.02 / $449.79 / $1,306.42	Professional		$193.02	$449.79	$1,306.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $289.52 / $674.68 / $1,959.63	Professional	50	$289.52	$674.68	$1,959.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.88 / $556.76 / $1,637.47	Professional		$181.88	$556.76	$1,637.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.06 / $755.00 / $1,566.51	Facility		$161.06	$755.00	$1,566.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $904.99 / $1,799.57 / $6,036.72	Professional		$904.99	$1,799.57	$6,036.72
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $747.00 / $1,300.00	Facility		$245.00	$747.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.41 / $1,286.27 / $2,493.96	Professional		$904.41	$1,286.27	$2,493.96