Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $2,782.00 / $9,304.00	Facility		$118.95	$2,782.00	$9,304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $122.45 / $242.24	Professional		$85.43	$122.45	$242.24
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 $92.00 / $133.44 / $211.70	Professional		$92.00	$133.44	$211.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.00 / $199.89 / $317.56	Professional	50	$138.00	$199.89	$317.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $162.96 / $260.69	Professional		$95.49	$162.96	$260.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.43 / $171.94 / $1,751.00	Facility		$85.43	$171.94	$1,751.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $260.60 / $897.60	Professional		$130.83	$260.60	$897.60
United Facility/Professional Facility Modifier Low / Median / High Price $709.00 / $1,632.00 / $2,664.00	Facility		$709.00	$1,632.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $165.03 / $392.30	Professional		$122.34	$165.03	$392.30