Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $346.74	Facility		$138.04	$158.49	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $204.17	Professional		$123.03	$151.36	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Professional		$117.49	$169.82	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $263.03	Facility		$112.20	$144.54	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $275.42	Professional		$151.36	$151.36	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $380.19	Professional		$134.90	$213.80	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $389.05	Facility		$131.83	$208.93	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $1,023.29	Professional		$138.04	$199.53	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $223.87	Facility		$64.57	$120.23	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $281.84	Professional		$134.90	$169.82	$281.84