Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.66 / $2,598.00 / $7,365.00	Facility		$224.66	$2,598.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,769.86 / $3,769.86 / $3,769.86	Facility	50	$3,769.86	$3,769.86	$3,769.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $186.67 / $277.22	Professional		$73.15	$186.67	$277.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.42 / $298.08 / $298.85	Professional	50	$220.42	$298.08	$298.85
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 $70.66 / $87.52 / $150.68	Professional		$70.66	$87.52	$150.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.00 / $131.28 / $226.02	Professional	50	$106.00	$131.28	$226.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $186.47 / $395.35	Professional		$89.19	$186.47	$395.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.15 / $201.87 / $1,291.00	Facility		$72.15	$201.87	$1,291.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.18 / $352.22 / $1,886.00	Professional		$216.18	$352.22	$1,886.00
United Facility/Professional Facility Modifier Low / Median / High Price $786.00 / $1,632.00 / $2,675.00	Facility		$786.00	$1,632.00	$2,675.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $305.14 / $457.83	Professional		$204.92	$305.14	$457.83