Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.19 / $3,697.00 / $7,996.00	Facility		$196.19	$3,697.00	$7,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $169.40 / $447.65	Professional		$105.87	$169.40	$447.65
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $496.53 / $562.77 / $587.88	Professional	50	$496.53	$562.77	$587.88
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 $116.00 / $185.95 / $298.67	Professional		$116.00	$185.95	$298.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $174.00 / $278.93 / $448.00	Professional	50	$174.00	$278.93	$448.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $229.86 / $377.61	Professional		$122.19	$229.86	$377.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.94 / $244.62 / $1,218.00	Facility		$111.94	$244.62	$1,218.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $364.73 / $1,422.08	Professional		$192.50	$364.73	$1,422.08
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.70 / $247.85 / $401.14	Professional		$184.70	$247.85	$401.14