Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $162.18	Facility		$77.62	$104.71	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $234.42	Professional		$83.18	$117.49	$234.42
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 $89.13 / $114.82 / $162.18	Professional		$89.13	$114.82	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $186.21	Professional		$89.13	$138.04	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $234.42	Professional		$100.00	$141.25	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $707.95	Facility		$79.43	$144.54	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $933.25	Professional		$114.82	$181.97	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $707.95 / $1,412.54	Facility		$199.53	$707.95	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $204.17	Professional		$87.10	$123.03	$204.17