Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $354.81	Facility		$177.83	$309.03	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $309.03	Professional		$123.03	$158.49	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $645.65	Facility		$186.21	$186.21	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $331.13	Professional		$74.13	$123.03	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $275.42 / $478.63	Facility		$257.04	$275.42	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $316.23	Professional		$128.82	$186.21	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $346.74 / $436.52	Facility		$190.55	$346.74	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $251.19	Professional		$79.43	$97.72	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $223.87 / $870.96	Facility		$162.18	$223.87	$870.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $933.25	Professional		$77.62	$112.20	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $223.87	Facility		$77.62	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $204.17	Professional		$77.62	$112.20	$204.17