Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.80 / $3,214.00 / $7,365.00	Facility		$221.80	$3,214.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.04 / $189.81 / $356.67	Professional		$120.04	$189.81	$356.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $90.00 / $90.00 / $90.00	Professional	50	$90.00	$90.00	$90.00
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 $133.00 / $210.46 / $328.77	Professional		$133.00	$210.46	$328.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $199.50 / $315.60 / $493.15	Professional	50	$199.50	$315.60	$493.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $263.33 / $457.04	Professional		$141.47	$263.33	$457.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.59 / $249.48 / $875.00	Facility		$120.59	$249.48	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $412.23 / $1,608.96	Professional		$221.34	$412.23	$1,608.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $747.00 / $1,300.00	Facility		$245.00	$747.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $284.08 / $471.61	Professional		$210.10	$284.08	$471.61