Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.73 / $2,150.00 / $5,691.00	Facility		$168.73	$2,150.00	$5,691.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $173.43 / $454.66	Professional		$104.01	$173.43	$454.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,785.00 / $4,773.00	Facility		$862.00	$1,785.00	$4,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.53 / $171.20 / $275.16	Professional		$116.53	$171.20	$275.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $1,652.00 / $1,652.00	Facility		$1,652.00	$1,652.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $190.66 / $355.31	Professional		$114.27	$190.66	$355.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $197.90 / $509.94	Facility		$107.24	$197.90	$509.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $343.84 / $1,394.64	Professional		$169.50	$343.84	$1,394.64
United Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $747.00 / $1,300.00	Facility		$247.00	$747.00	$1,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $232.97 / $413.99	Professional		$162.41	$232.97	$413.99