Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $2,393.00 / $9,193.78	Facility		$76.61	$2,393.00	$9,193.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,657.06 / $1,657.06 / $1,657.06	Facility	50	$1,657.06	$1,657.06	$1,657.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $97.00 / $230.63	Professional		$52.37	$97.00	$230.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $255.36 / $364.44 / $827.23	Professional	50	$255.36	$364.44	$827.23
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 $65.72 / $87.50 / $121.51	Professional		$65.72	$87.50	$121.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $99.37 / $132.49 / $182.27	Professional	50	$99.37	$132.49	$182.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $113.21 / $192.37	Professional		$68.76	$113.21	$192.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.51 / $115.55 / $1,116.00	Facility		$59.51	$115.55	$1,116.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.69 / $178.61 / $1,094.00	Professional		$87.69	$178.61	$1,094.00
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 $84.01 / $143.19 / $235.48	Professional		$84.01	$143.19	$235.48