Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $151.36	Facility		$75.86	$131.83	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $131.83	Professional		$57.54	$72.44	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $275.42	Facility		$77.62	$77.62	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $169.82	Professional		$38.90	$60.26	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $154.88 / $177.83	Facility		$147.91	$154.88	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $147.91 / $562.34	Facility		$109.65	$147.91	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $112.20	Professional		$51.29	$79.43	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $389.05	Facility		$67.61	$134.90	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $95.50	Professional		$33.11	$48.98	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $77.62 / $97.72	Facility		$42.66	$77.62	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $95.50	Professional		$33.11	$46.77	$95.50