Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $204.17 / $234.42	Facility		$117.49	$204.17	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $199.53	Professional		$81.28	$104.71	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $426.58	Facility		$123.03	$123.03	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $218.78	Professional		$60.26	$93.33	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $169.82	Professional		$85.11	$123.03	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $295.12	Facility		$138.04	$229.09	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $194.98	Professional		$60.26	$75.86	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $575.44	Facility		$107.15	$151.36	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $616.60	Professional		$51.29	$91.20	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $123.03 / $151.36	Facility		$63.10	$123.03	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $147.91	Professional		$51.29	$74.13	$147.91