Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $4,265.80 / $8,511.38	Facility		$138.04	$4,265.80	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $257.04	Professional		$120.23	$144.54	$257.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $257.04 / $295.12	Professional	50	$173.78	$257.04	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $213.80	Professional		$117.49	$144.54	$213.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $218.78 / $323.59	Professional	50	$177.83	$218.78	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $204.17	Professional		$107.15	$138.04	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $389.05	Facility		$87.10	$87.10	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $446.68	Professional		$109.65	$165.96	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $223.87 / $954.99	Facility		$54.95	$223.87	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $1,548.82	Professional		$123.03	$181.97	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $707.95 / $1,412.54	Facility		$223.87	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $234.42	Professional		$112.20	$141.25	$234.42