Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Facility		$93.33	$93.33	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $186.21	Professional		$89.13	$147.91	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $199.53	Professional		$117.49	$138.04	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $194.98 / $707.95	Facility		$95.50	$194.98	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $1,174.90	Professional		$151.36	$245.47	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $363.08	Professional		$147.91	$239.88	$363.08