Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $2,507.00 / $12,154.00	Facility		$89.25	$2,507.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $118.68 / $292.48	Professional		$61.69	$118.68	$292.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.00 / $1,818.00 / $4,958.00	Facility		$862.00	$1,818.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $105.49 / $200.75	Professional		$64.00	$105.49	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $128.47 / $255.92	Professional		$67.93	$128.47	$255.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $137.37 / $404.09	Facility		$61.25	$137.37	$404.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.79 / $207.45 / $3,722.02	Professional		$123.79	$207.45	$3,722.02
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $154.74 / $267.77	Professional		$123.56	$154.74	$267.77