Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.29 / $2,209.00 / $6,284.00	Facility		$418.29	$2,209.00	$6,284.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $773.50 / $1,345.04 / $2,687.33	Facility	50	$773.50	$1,345.04	$2,687.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $355.39 / $593.03	Professional		$211.86	$355.39	$593.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $610.82 / $610.82 / $914.95	Professional	50	$610.82	$610.82	$914.95
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 $216.10 / $277.00 / $400.45	Professional		$216.10	$277.00	$400.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $324.14 / $415.50 / $600.66	Professional	50	$324.14	$415.50	$600.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.00 / $517.00 / $1,135.71	Facility		$517.00	$517.00	$1,135.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.41 / $371.61 / $794.84	Professional		$214.41	$371.61	$794.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.02 / $880.05 / $16,394.00	Facility		$266.02	$880.05	$16,394.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.82 / $501.58 / $3,771.59	Professional		$388.82	$501.58	$3,771.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,833.00 / $5,813.00	Facility		$1,438.00	$2,833.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.56 / $470.72 / $783.08	Professional		$366.56	$470.72	$783.08