Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $1,184.00 / $5,691.00	Facility		$109.39	$1,184.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $128.21 / $276.74	Professional		$63.07	$128.21	$276.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $768.00	Professional	50	$342.67	$342.67	$768.00
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 $69.70 / $94.29 / $134.02	Professional		$69.70	$94.29	$134.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.55 / $141.43 / $201.03	Professional	50	$104.55	$141.43	$201.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $148.38 / $252.31	Professional		$78.19	$148.38	$252.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $163.72 / $1,770.00	Facility		$72.51	$163.72	$1,770.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $236.81 / $1,181.28	Professional		$137.87	$236.81	$1,181.28
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,632.00 / $2,675.00	Facility		$899.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $193.86 / $307.58	Professional		$119.29	$193.86	$307.58