Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.93 / $173.87 / $303.95	Facility		$109.93	$173.87	$303.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $112.52 / $138.38	Professional		$109.93	$112.52	$138.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.33 / $135.80 / $596.99	Facility		$129.33	$135.80	$596.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $89.23 / $237.16	Professional		$37.29	$89.23	$237.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.95 / $271.26 / $453.77	Facility		$89.95	$271.26	$453.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $123.24 / $173.71	Professional		$42.93	$123.24	$173.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.19 / $168.13 / $614.32	Facility		$94.19	$168.13	$614.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $66.70 / $141.49	Professional		$54.32	$66.70	$141.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $68.73 / $155.19	Professional		$54.32	$68.73	$155.19