Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.23 / $267.37 / $6,284.00	Facility		$121.23	$267.37	$6,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $26.58 / $88.01	Professional		$16.73	$26.58	$88.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.20 / $25.00 / $326.94	Professional	50	$23.20	$25.00	$326.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $59.00 / $89.20	Professional		$33.72	$59.00	$89.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.58 / $88.50 / $133.80	Professional	50	$50.58	$88.50	$133.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $39.81 / $94.96	Professional		$18.23	$39.81	$94.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $59.93 / $1,218.00	Facility		$21.55	$59.93	$1,218.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $50.88 / $642.69	Professional		$25.73	$50.88	$642.69
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $760.00 / $1,300.00	Facility		$100.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $36.86 / $66.09	Professional		$24.42	$36.86	$66.09