Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.25 / $2,280.00 / $5,560.00	Facility		$475.25	$2,280.00	$5,560.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,247.00 / $3,247.00 / $3,247.00	Facility	50	$3,247.00	$3,247.00	$3,247.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $312.35 / $619.70	Professional		$123.65	$312.35	$619.70
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 $147.90 / $264.79 / $739.93	Professional		$147.90	$264.79	$739.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $330.00 / $1,021.13	Professional		$144.80	$330.00	$1,021.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $586.67 / $3,041.00	Facility		$143.22	$586.67	$3,041.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $474.56 / $1,099.43 / $3,753.52	Professional		$474.56	$1,099.43	$3,753.52
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 $474.56 / $733.33 / $1,406.07	Professional		$474.56	$733.33	$1,406.07