Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.00 / $3,158.00 / $8,000.00	Facility		$1,110.00	$3,158.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $131.47 / $134.28	Professional		$105.83	$131.47	$134.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.17 / $149.03 / $219.96	Professional		$119.17	$149.03	$219.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $174.70 / $314.77	Professional		$114.52	$174.70	$314.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.12 / $256.11 / $4,304.10	Facility		$111.12	$256.11	$4,304.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $211.11 / $858.56	Professional		$130.27	$211.11	$858.56
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $1,729.00 / $2,664.00	Facility		$899.00	$1,729.00	$2,664.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $162.99 / $318.29	Professional		$121.26	$162.99	$318.29