Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.90 / $4,908.00 / $12,154.00	Facility		$670.90	$4,908.00	$12,154.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,389.00 / $5,389.00 / $5,389.00	Facility	50	$5,389.00	$5,389.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $572.67 / $975.69	Professional		$428.62	$572.67	$975.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $966.65 / $2,936.22 / $2,936.22	Professional	50	$966.65	$2,936.22	$2,936.22
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 $469.00 / $632.69 / $848.01	Professional		$469.00	$632.69	$848.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $703.50 / $949.03 / $1,272.01	Professional	50	$703.50	$949.03	$1,272.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $730.00 / $1,135.71	Facility		$730.00	$730.00	$1,135.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.02 / $664.62 / $1,656.95	Professional		$415.02	$664.62	$1,656.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $1,413.12 / $26,542.00	Facility		$530.78	$1,413.12	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.24 / $723.43 / $7,569.00	Professional		$561.24	$723.43	$7,569.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.16 / $701.12 / $1,156.97	Professional		$552.16	$701.12	$1,156.97