Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $218.78	Facility		$107.15	$186.21	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $141.25	Professional		$75.86	$95.50	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $81.28 / $177.83	Professional		$6.92	$81.28	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $269.15	Facility		$144.54	$218.78	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $194.98 / $537.03	Facility		$97.72	$194.98	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $123.03	Professional		$46.77	$67.61	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $112.20 / $134.90	Facility		$46.77	$112.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $131.83	Professional		$46.77	$67.61	$131.83