Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,162.28 / $7,413.10	Facility		$602.56	$3,162.28	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,290.87 / $5,248.07 / $5,248.07	Facility	50	$2,290.87	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $398.11	Professional		$131.83	$162.18	$398.11
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 $151.36 / $181.97 / $288.40	Professional		$151.36	$181.97	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $245.47	Professional		$134.90	$151.36	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $346.74	Professional		$147.91	$213.80	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,380.38 / $26,302.68	Facility		$141.25	$1,380.38	$26,302.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $1,122.02	Professional		$147.91	$208.93	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,019.95	Facility		$1,071.52	$1,778.28	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $302.00	Professional		$141.25	$177.83	$302.00