Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.01 / $551.91 / $905.08	Facility		$95.01	$551.91	$905.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $133.24 / $293.58	Professional		$101.06	$133.24	$293.58
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 $100.93 / $140.00 / $215.06	Professional		$100.93	$140.00	$215.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $177.81 / $285.07	Professional		$122.54	$177.81	$285.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $176.85 / $470.72	Facility		$103.63	$176.85	$470.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $223.39 / $1,099.20	Professional		$146.01	$223.39	$1,099.20
United Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $718.00 / $1,667.00	Facility		$181.54	$718.00	$1,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $188.21 / $306.68	Professional		$133.50	$188.21	$306.68