Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.36 / $313.92 / $5,691.00	Facility		$138.36	$313.92	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $207.18 / $510.26	Professional		$122.45	$207.18	$510.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,852.00	Facility		$821.00	$1,963.00	$4,852.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.36 / $141.74 / $215.55	Professional		$104.36	$141.74	$215.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $222.21 / $447.06	Professional		$119.85	$222.21	$447.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.46 / $254.72 / $747.00	Facility		$122.46	$254.72	$747.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $355.46 / $1,560.64	Professional		$213.54	$355.46	$1,560.64
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $760.00 / $1,300.00	Facility		$245.00	$760.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $266.04 / $414.71	Professional		$194.88	$266.04	$414.71