Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,659.59 / $5,623.41	Facility		$128.82	$1,659.59	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $467.74	Professional		$104.71	$199.53	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,819.70 / $4,168.69	Facility		$676.08	$1,819.70	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $309.03	Professional		$107.15	$177.83	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $309.03	Professional		$114.82	$218.78	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $371.54	Professional		$114.82	$199.53	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $204.17 / $512.86	Facility		$102.33	$204.17	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $1,548.82	Professional		$173.78	$316.23	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $691.83 / $1,380.38	Facility		$186.21	$691.83	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $338.84	Professional		$104.71	$181.97	$338.84