Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.65 / $230.96 / $563.05	Facility		$142.65	$230.96	$563.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $142.65 / $213.97	Professional		$118.52	$142.65	$213.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $172.16 / $756.84	Facility		$163.96	$172.16	$756.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $140.11 / $277.43	Professional		$24.24	$140.11	$277.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $343.90 / $914.84	Facility		$155.18	$343.90	$914.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $142.69 / $285.01	Professional		$74.70	$142.69	$285.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.81 / $205.27 / $778.81	Facility		$132.81	$205.27	$778.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $134.21 / $819.80	Professional		$68.86	$134.21	$819.80
United Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $196.75 / $223.69	Facility		$59.03	$196.75	$223.69
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $121.45 / $212.49	Professional		$68.86	$121.45	$212.49