Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.43 / $3,119.00 / $7,365.00	Facility		$764.43	$3,119.00	$7,365.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,195.00 / $2,195.00 / $5,194.26	Facility	50	$2,195.00	$2,195.00	$5,194.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.83 / $654.17 / $1,096.75	Professional		$436.83	$654.17	$1,096.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $4,257.00 / $9,640.00	Facility		$2,232.00	$4,257.00	$9,640.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.00 / $687.04 / $1,129.64	Professional		$476.00	$687.04	$1,129.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,652.00 / $5,249.00 / $6,727.00	Facility		$2,652.00	$5,249.00	$6,727.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.68 / $804.09 / $1,426.52	Professional		$477.68	$804.09	$1,426.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.72 / $937.83 / $4,332.00	Facility		$461.72	$937.83	$4,332.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.02 / $1,381.65 / $5,714.48	Professional		$719.02	$1,381.65	$5,714.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,790.00 / $2,849.00 / $4,838.00	Facility		$1,790.00	$2,849.00	$4,838.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.42 / $868.32 / $1,389.43	Professional		$687.42	$868.32	$1,389.43