Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $4,450.00 / $12,332.00	Facility		$479.40	$4,450.00	$12,332.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,377.39 / $24,180.00 / $24,664.00	Facility	50	$4,377.39	$24,180.00	$24,664.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $762.32 / $846.24 / $1,290.22	Professional	50	$762.32	$846.24	$1,290.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36,820.00 / $36,820.00 / $36,820.00	Facility		$36,820.00	$36,820.00	$36,820.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $272.77 / $406.15 / $853.36	Professional	50	$272.77	$406.15	$853.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $3,978.00 / $6,832.00	Facility		$1,347.00	$3,978.00	$6,832.00