Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $229.09 / $263.03	Facility		$131.83	$229.09	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $218.78	Professional		$89.13	$114.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $478.63	Facility		$138.04	$138.04	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $245.47	Professional		$54.95	$91.20	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $199.53 / $354.81	Facility		$190.55	$199.53	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $234.42	Professional		$95.50	$138.04	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $257.04 / $323.59	Facility		$141.25	$257.04	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $181.97	Professional		$58.88	$72.44	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $645.65	Facility		$120.23	$165.96	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $691.83	Professional		$57.54	$81.28	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $165.96	Facility		$57.54	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $151.36	Professional		$57.54	$81.28	$151.36