Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $1,760.00 / $7,365.00	Facility		$131.10	$1,760.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $950.18 / $1,024.82 / $3,049.20	Facility	50	$950.18	$1,024.82	$3,049.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $129.78 / $456.00	Professional		$94.50	$129.78	$456.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $540.00 / $855.00	Professional	50	$168.66	$540.00	$855.00
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 $91.36 / $119.37 / $201.00	Professional		$91.36	$119.37	$201.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.04 / $179.05 / $301.50	Professional	50	$137.04	$179.05	$301.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $163.18 / $259.61	Professional		$116.75	$163.18	$259.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.44 / $166.62 / $504.08	Facility		$101.44	$166.62	$504.08
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $943.00 / $943.00 / $943.00	Facility	50	$943.00	$943.00	$943.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $212.13 / $1,000.00	Professional		$135.40	$212.13	$1,000.00
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 $125.52 / $180.95 / $284.25	Professional		$125.52	$180.95	$284.25