Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $165.19 / $233.41	Facility		$115.45	$165.19	$233.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $202.40 / $349.97	Professional		$124.68	$202.40	$349.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $168.75 / $253.61	Professional		$136.09	$168.75	$253.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.60 / $243.22 / $424.69	Professional		$150.60	$243.22	$424.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.82 / $242.07 / $617.54	Facility		$125.82	$242.07	$617.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $326.89 / $1,697.92	Professional		$207.49	$326.89	$1,697.92
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.91 / $247.91 / $406.75	Professional		$148.91	$247.91	$406.75