Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.46 / $1,768.00 / $6,284.00	Facility		$135.46	$1,768.00	$6,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $549.60 / $948.00 / $948.00	Facility	50	$549.60	$948.00	$948.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $141.87 / $500.83	Professional		$113.48	$141.87	$500.83
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.52 / $704.52 / $1,179.00	Professional	50	$217.52	$704.52	$1,179.00
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 $118.28 / $180.41 / $236.00	Professional		$118.28	$180.41	$236.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.42 / $270.61 / $354.00	Professional	50	$177.42	$270.61	$354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $174.87 / $267.23	Professional		$127.22	$174.87	$267.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.59 / $184.21 / $559.12	Facility		$109.59	$184.21	$559.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $263.33 / $1,721.89	Professional		$144.75	$263.33	$1,721.89
United Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $760.00 / $1,300.00	Facility		$176.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.46 / $206.13 / $291.30	Professional		$128.46	$206.13	$291.30