Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.91 / $2,507.00 / $7,365.00	Facility		$125.91	$2,507.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $623.55 / $987.93 / $987.93	Facility	50	$623.55	$987.93	$987.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $121.66 / $251.06	Professional		$86.50	$121.66	$251.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $550.19 / $550.19 / $550.19	Professional	50	$550.19	$550.19	$550.19
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 $82.45 / $106.36 / $166.11	Professional		$82.45	$106.36	$166.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $123.67 / $159.55 / $249.16	Professional	50	$123.67	$159.55	$249.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $147.66 / $239.04	Professional		$106.56	$147.66	$239.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $150.54 / $485.92	Facility		$86.50	$150.54	$485.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.05 / $208.99 / $1,058.16	Professional		$119.05	$208.99	$1,058.16
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.87 / $164.97 / $276.32	Professional		$115.87	$164.97	$276.32