Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.00 / $2,507.00 / $7,365.00	Facility		$818.00	$2,507.00	$7,365.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $71.50 / $125.97	Professional		$54.26	$71.50	$125.97
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 $59.00 / $82.93 / $132.28	Professional		$59.00	$82.93	$132.28
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 $59.66 / $92.30 / $167.74	Professional		$59.66	$92.30	$167.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.52 / $91.71 / $195.88	Facility		$55.52	$91.71	$195.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $155.03 / $555.60	Professional		$79.50	$155.03	$555.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.00 / $2,332.00 / $3,041.00	Facility		$1,380.00	$2,332.00	$3,041.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $110.53 / $209.86	Professional		$73.08	$110.53	$209.86